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首页> 外文期刊>BMC Family Practice >Outcome and patients' satisfaction after functional treatment of acute lateral ankle injuries at emergency departments versus family doctor offices
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Outcome and patients' satisfaction after functional treatment of acute lateral ankle injuries at emergency departments versus family doctor offices

机译：急诊科与家庭医生办公室对急性外侧踝关节损伤进行功能治疗后的结果和患者满意度

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Background In some Western countries, more and more patients seek initial treatment even for minor injuries at emergency units of hospitals. The initial evaluation and treatment as well as aftercare of these patients require large amounts of personnel and logistical resources, which are limited and costly, especially if compared to treatment by a general practitioner. In this study, we investigated whether outsourcing from our level 1 trauma center to a general practitioner has an influence on patient satisfaction and compliance. Methods This prospective, randomized study, included n = 100 patients who suffered from a lateral ankle ligament injury grade I-II (16, 17). After radiological exclusion of osseous lesions, the patients received early functional treatment and were shown physical therapy exercises to be done at home, without immobilization or the use of stabilizing ortheses. The patients were randomly assigned into two groups of 50 patients each: Group A (ER): Follow-up and final examination in the hospital's emergency unit. Group B (GP): Follow-up by general practitioner, final examination at hospital's emergency unit. The patients were surveyed regarding their satisfaction with the treatment and outcome of the treatment. Results Female and male patients were equally represented in both groups. The age of the patients ranged from 16 – 64 years, with a mean age of 34 years (ER) and 35 years (GP). 98% (n = 98) of all patients were satisfied with their treatment, and 93% (n = 93) were satisfied with the outcome. For these parameters no significant difference between the two groups could be noted (p = 0.7406 and 0.7631 respectively). 39% of all patients acquired stabilizing ortheses like ankle braces (Aircast, Malleoloc etc.) on their own initiative. There was a not significant tendency for more self-acquired ortheses in the group treated by general practicioners (p = 0,2669). Conclusion Patients who first present at the ER with a lateral ankle ligament injury grade I-II can be referred to a general practitioner for follow-up treatment without affecting patient satisfaction regarding treatment and treatment outcome.
机译：背景技术在一些西方国家，越来越多的患者甚至在医院急诊室因轻伤而寻求初始治疗。这些患者的初步评估和治疗以及后期护理需要大量的人员和后勤资源，这是有限且昂贵的，特别是与全科医生进行治疗相比。在这项研究中，我们调查了从1级创伤中心外包给全科医生的情况是否会影响患者的满意度和依从性。方法这项前瞻性随机研究纳入了n = 100的I-II级踝关节外侧韧带损伤患者（16，17）。在放射学上排除骨性病变后，患者接受了早期功能治疗，并被证明要在家中进行物理治疗，而无需固定或使用稳定矫形器。将患者随机分为两组，每组50名患者：A组（ER）：在医院急诊室的随访和最终检查。 B组（GP）：全科医生的随访，在医院急诊室进行最终检查。就患者对治疗的满意度和治疗结果进行了调查。结果两组中女性和男性患者均相等。患者年龄为16-64岁，平均年龄为34岁（ER）和35岁（GP）。所有患者中有98％（n = 98）对其治疗感到满意，而93％（n = 93）对结果满意。对于这些参数，两组之间没有显着差异（分别为p = 0.7406和0.7631）。所有患者中有39％主动获得了稳定矫形器，如踝关节矫正器（Aircast，Malleoloc等）。在全科医师治疗的人群中，自习性矫形器的趋势不明显（p = 0,2669）。结论首次在ER处出现I-II级踝关节外侧韧带损伤的患者可以转诊至全科医生进行后续治疗，而不会影响患者对治疗和治疗结果的满意度。

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