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Evaluation of Orthopedic Trauma Surgery Follow-up and Impact of a Routine Callback Program

机译：矫形外科手术的评估和常规回调计划的后续和影响

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摘要

A high rate of patients lost to follow-up is a common problem in orthopedic trauma surgery. This adversely affects the ability to produce accurate clinical outcomes research. The purpose of this project was to (1) evaluate the rate of loss to follow-up at an academic level I trauma center; (2) identify the patient-reported reasons for loss to follow-up; and (3) evaluate the efficacy of a routine patient callback program. All patients who underwent surgery in the orthopedic trauma division of the University of Virginia Medical Center from April 1, 2014, to September 30, 2014, and did not complete their postoperative clinic follow-up were analyzed. The characteristics of these patients were evaluated, and the primary reason for not completing the recommended follow-up was identified. All patients were then offered additional orthopedic follow-up at the time of contact. Of the 480 patients who met the inclusion criteria, 41 (8.5%) failed to complete the recommended postoperative follow-up course. The most common reason for being lost to follow-up was feeling well and not having the need to be seen (46.3%). Only 6 (14.6%) of the 41 patients requested follow-up care at the time of contact. The lost to follow-up rate in this study, 8.5%, was considerably lower than that previously reported, but patient characteristics were consistent with those of prior studies on this subject. The low lost to follow-up rate may reflect a difference in geographic location or patient population. The patient callback program had a low yield of patients requesting additional follow-up after being contacted.
机译：失去随访的患者的高速率是骨科创伤手术中的常见问题。这对产生准确的临床结果研究的能力产生了不利影响。该项目的目的是（1）评估学术一级Trauma Center的损失率; （2）确定患者报告的后续损失原因; （3）评估常规患者回调计划的功效。从2014年4月1日至2014年4月1日到2014年9月30日，弗吉尼亚州医疗中心大学矫形外科医疗中心进行手术的所有患者，并没有完成他们的术后诊所随访。评估了这些患者的特征，并确定了未完成推荐后续的主要原因。然后在接触时向所有患者提供额外的骨科随访。在符合纳入标准的480名患者中，41名（8.5％）未能完成推荐的术后随访课程。失去随访的最常见原因感觉很好，而且没有必要看过（46.3％）。 41名患者中只有6名（14.6％）要求在联系时要求随访。本研究中失去的后续率为8.5％，比先前报告的程度相当低，但患者特征与对该主题的先前研究的特征一致。失去的后续率损失可能反映地理位置或患者人口的差异。患者回调程序具有低产率的患者，在接触后请求额外的随访。

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  • 来源
    《Orthopedics》 |2017年第2期|共5页
  • 作者

    Casp Aaron J.; Wells Jodi; Holzgrefe Russell; Weiss David; Kahler David; Yarboro Seth R.;

  • 作者单位

    Univ Virginia Hlth Syst Dept Orthopaed Surg 400 Ray C Hunt Dr Ste 330 Charlottesville VA 22903;

    Univ Virginia Hlth Syst Dept Orthopaed Surg 400 Ray C Hunt Dr Ste 330 Charlottesville VA 22903;

    Univ Virginia Hlth Syst Dept Orthopaed Surg 400 Ray C Hunt Dr Ste 330 Charlottesville VA 22903;

    Univ Virginia Hlth Syst Dept Orthopaed Surg 400 Ray C Hunt Dr Ste 330 Charlottesville VA 22903;

    Univ Virginia Hlth Syst Dept Orthopaed Surg 400 Ray C Hunt Dr Ste 330 Charlottesville VA 22903;

    Univ Virginia Hlth Syst Dept Orthopaed Surg 400 Ray C Hunt Dr Ste 330 Charlottesville VA 22903;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 骨科学（运动系疾病、矫形外科学）;
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