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老年患者的压疮。与髋关节手术相关的流行病学。

Pressure sores in elderly patients. The epidemiology related to hip operations.

作者信息

Versluysen M

出版信息

J Bone Joint Surg Br. 1985 Jan;67(1):10-3. doi: 10.1302/0301-620X.67B1.3968129.

DOI:10.1302/0301-620X.67B1.3968129
PMID:3968129
Abstract

The prevalence and onset of pressure sores was studied in 283 patients admitted to a general hospital with either fracture of the proximal femur or for elective hip surgery. Ninety patients developed pressure sores, of which 60 are reported in detail. Most were in women aged 70 or more who had been admitted with hip fractures. The majority of pressure sores started soon after admission, particularly on the day of operation, after which the numbers of new cases decreased. Half the patients had more than one pressure sore and the commonest sites were the sacrum, heels, and buttocks. The mortality in patients with pressure sores was 27% and their mean length of stay in hospital far exceeded that of other patients. The prevention of pressure sores in elderly patients requires more skill and attention than the nurse alone can offer; it demands the help of the whole orthopaedic team.

摘要

对283名因股骨近端骨折入院或接受择期髋关节手术的综合医院患者的压疮患病率和发病情况进行了研究。90名患者发生了压疮,其中60例有详细报告。大多数是70岁及以上因髋部骨折入院的女性。大多数压疮在入院后不久出现,尤其是在手术当天,之后新病例数减少。一半的患者有不止一处压疮,最常见的部位是骶骨、足跟和臀部。发生压疮患者的死亡率为27%,他们的平均住院时间远远超过其他患者。预防老年患者的压疮需要的技能和关注超出了护士一己之力所能提供的范围;这需要整个骨科团队的帮助。

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