Department of Trauma Surgery, OLVG Hospital, Amsterdam, the Netherlands.
Department of Trauma Surgery, St. Antonius Hospital Utrecht, Nieuwegein, the Netherlands.
J Hand Surg Eur Vol. 2024 Mar;49(3):341-349. doi: 10.1177/17531934231187830. Epub 2023 Jul 17.
This study aimed to determine the effects of virtual fracture care (VFC) on secondary healthcare utilization in non-operative treatment of adult patients with a distal radial fracture. A retrospective cohort study was performed, including those who received non-operative treatment without VFC (pre-VFC) and with VFC (VFC). Outcomes included secondary healthcare utilization, calculated treatment costs, emergency department (ED) reattendances and complication rates. In total, 88 pre-VFC and 99 VFC patients were included. Pre-VFC patients had more follow-up appointments, with a median of 4 (IQR: 3) versus a median of 4 (IQR: 1) in VFC patients. In addition, 3% of follow-up appointments for pre-VFC patients were performed remotely compared to 18% for VFC patients. Complications and ED reattendances were comparable between groups. In this study, non-operative treatment of adult patients with a distal radial fracture through VFC reduced secondary healthcare utilization, with similar reported complication and ED reattendance rates compared with treatment without VFC. III.
本研究旨在确定虚拟骨折护理（VFC）对非手术治疗成人桡骨远端骨折患者的二级医疗保健利用的影响。进行了一项回顾性队列研究，包括接受非手术治疗但未接受 VFC（预 VFC）和接受 VFC（VFC）的患者。结果包括二级医疗保健利用、治疗成本、急诊科（ED）再就诊率和并发症发生率。共纳入 88 例预 VFC 患者和 99 例 VFC 患者。预 VFC 患者的随访预约更多，中位数为 4（IQR：3），而 VFC 患者的中位数为 4（IQR：1）。此外，预 VFC 患者中有 3%的随访预约是远程进行的，而 VFC 患者中有 18%的随访预约是远程进行的。两组的并发症和 ED 再就诊率相似。在这项研究中，通过 VFC 对成人桡骨远端骨折进行非手术治疗可减少二级医疗保健利用，与未接受 VFC 治疗的患者相比，报告的并发症和 ED 再就诊率相似。III。
