髋部骨折后骨科老年病学护理-一份加拿大立场文件，涉及护理方面的挑战和满足质量指标的策略。
Post hip fracture orthogeriatric care-a Canadian position paper addressing challenges in care and strategies to meet quality indicators.
机构信息
Department of Medicine, Division of Endocrinology and Metabolism and Geriatrics, McMaster University, Hamilton, ON, Canada.
Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
出版信息
Osteoporos Int. 2023 Jun;34(6):1011-1035. doi: 10.1007/s00198-022-06640-3. Epub 2023 Apr 4.
INTRODUCTION
Osteoporosis is a major disease state associated with significant morbidity, mortality, and health care costs. Less than half of the individuals sustaining a low energy hip fracture are diagnosed and treated for the underlying osteoporosis.
OBJECTIVE
A multidisciplinary Canadian hip fracture working group has developed practical recommendations to meet Canadian quality indicators in post hip fracture care.
METHODS
A comprehensive narrative review was conducted to identify and synthesize key articles on post hip fracture orthogeriatric care for each of the individual sections and develop recommendations. These recommendations are based on the best evidence available today.
CONCLUSION
Recommendations are anticipated to reduce recurrent fractures, improve mobility and healthcare outcomes post hip fracture, and reduce healthcare costs. Key messages to enhance postoperative care are also provided.
简介
骨质疏松症是一种与高发病率、高死亡率和高医疗成本密切相关的主要疾病状态。仅有不到一半的低能量髋部骨折患者被诊断和治疗潜在的骨质疏松症。
目的
一个多学科的加拿大髋部骨折工作组制定了实用的建议，以满足加拿大髋部骨折后护理的质量指标。
方法
对髋部骨折后骨科老年病学护理的关键文章进行了全面的叙述性综述，以确定并综合了各个部分的建议。这些建议是基于目前最好的证据。
结论
预计这些建议将减少髋部骨折后的再骨折、提高活动能力和医疗保健结果，并降低医疗保健成本。还提供了增强术后护理的关键信息。
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