Boyd R V, Hawthorne J, Wallace W A, Worlock P H, Compton E H
Injury. 1983 Nov;15(3):193-6. doi: 10.1016/0020-1383(83)90013-x.
Four years experience in the use of a new orthogeriatric unit run jointly by the orthopaedic Trauma service and the Department of Health Care of the Elderly is presented. There were over 1000 admissions during this period. The Unit was opened in 1978 and was established to meet the increasing problems stemming from fractures of the proximal femur in elderly women. During the ten-year period from 1971 to 1981 the number of patients with fractures of the proximal femur admitted to the orthopaedic trauma unit in Nottingham has doubled--from 290 cases in 1971 to 612 cases in 1981. The effect of the orthogeriatric unit has been to reduce the average length of hospital stay for these patients from 66 days in 1977 before the unit opened, to 48 days in 1979 with a rate of discharge to home or to relatives of 69 per cent of patients: inpatient case fatality within the unit has been 5 per cent.
本文介绍了在一个由骨科创伤服务部门和老年保健部门联合运营的新型骨科老年病单元的四年使用经验。在此期间，该单元接收了超过1000名患者。该单元于1978年开业，旨在解决老年女性股骨近端骨折引发的日益增多的问题。在1971年至1981年的十年间，诺丁汉骨科创伤单元收治的股骨近端骨折患者数量翻了一番，从1971年的290例增至1981年的612例。骨科老年病单元的作用是将这些患者的平均住院时间从1977年该单元开业前的66天缩短至1979年的48天，患者出院回家或投靠亲属的比例为69%，该单元的住院病死率为5%。
