股骨颈骨折（诊断相关分组210/211）：前瞻性结局研究
Fractured neck of the femur (DRG 210/211): prospective outcome study.
作者信息
Turner P, Cocks J, Cade R, Ewing H, Collopy B, Thompson G
机构信息
Victorian State Committee, Royal Australasian College of Surgeons, Australia.
出版信息
Aust N Z J Surg. 1997 Feb-Mar;67(2-3):126-30. doi: 10.1111/j.1445-2197.1997.tb01917.x.
BACKGROUND
An ageing population will increase the need for resources to treat patients with a fractured neck of femur (DRG 210/211). Provision of these resources will be helped by a better understanding of current practices.
METHODS
A prospective study of outcome at discharge for 100 consecutive patients with DRG 210/211 was conducted at five Victorian metropolitan teaching hospitals to assess length of stay and the reasons for any variations.
RESULTS
The major influences on timing of discharge were: delayed availability of rehabilitation beds; the timing of referral and assessment by the Geriatric Assessment Team; delay in surgery more than 24 h after admission; and development of postoperative complications.
CONCLUSION
The efficient management of patients with DRG 210/211 requires a strong protocol of treatment and referral strategies with adequate resources.
背景
人口老龄化将增加治疗股骨颈骨折患者（诊断相关分组210/211）所需资源。更好地了解当前做法将有助于提供这些资源。
方法
在维多利亚州五家大都市教学医院对100例连续的诊断相关分组210/211患者进行出院结局的前瞻性研究，以评估住院时间及任何差异的原因。
结果
对出院时间的主要影响因素有：康复床位延迟提供；老年评估团队转诊和评估的时间；入院后超过24小时延迟手术；以及术后并发症的发生。
结论
对诊断相关分组210/211患者进行有效管理需要强有力的治疗方案和转诊策略以及充足的资源。
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