Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
Sunnybrook Health Sciences Centre, Toronto, ON, Canada; Department of Surgery, University of Toronto, Toronto, ON, Canada.
J Am Med Dir Assoc. 2023 May;24(5):661-663. doi: 10.1016/j.jamda.2023.01.024. Epub 2023 Mar 1.
Long-term care residents with suspected fractures as a result of a fall typically transfer to the emergency department (ED) for diagnostic imaging and care. During the COVID-19 pandemic, transfer to the hospital increased the risk of COVID-19 exposure and resulted in extended isolation days for the resident. A fracture care pathway was developed and implemented to provide rapid diagnostic imaging results and stabilization in the care home, reducing transportation and exposure risk to COVID-19. Eligible residents with a stable fracture would receive a referral to a designated fracture clinic for consultation; fracture care is provided in the care home by long-term care staff. Evaluation of the pathway was completed and demonstrated that 100% of residents did not transfer to the ED and 47% of the residents did not transfer to a fracture clinic for additional care.
长期护理居民因跌倒而疑似骨折，通常会转移到急诊部（ED）进行诊断成像和治疗。在 COVID-19 大流行期间，转移到医院会增加 COVID-19 暴露的风险，并导致居民隔离时间延长。制定并实施了骨折护理途径，以在护理院提供快速的诊断成像结果和稳定，减少运输和 COVID-19 的暴露风险。有稳定骨折的合格居民将获得转介到指定骨折诊所进行咨询；由长期护理人员在护理院提供骨折护理。对该途径进行了评估，结果表明 100%的居民没有转移到 ED，47%的居民没有转移到骨折诊所进行进一步治疗。
