Influence of surgeon's experience and supervision on re-operation rate after hip fracture surgery.

Palm H; Jacobsen S; Krasheninnikoff M; Foss NB; Kehlet H; Gebuhr P

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Influence of surgeon's experience and supervision on re-operation rate after hip fracture surgery.

机译：外科医生的经验和监督对髋部骨折手术后再手术率的影响。

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OBJECTIVE: To investigate the influence of the performing surgeon's experience and degree of supervision on re-operation rate among patients admitted with a proximal femoral fracture (PFF). METHODS: Prospective study of 600 consecutive patients with proximal femoral fracture in our multimodal rehabilitation programme, between 2002 and 2004. Re-operation rate was assessed 6 months postoperatively. Surgeons were grouped as unsupervised junior registrars versus experienced surgeons operating or supervising. Fractures were stratified as technically undemanding or demanding. RESULTS: Unsupervised junior registrars operated on 23% (137/600) of all and 15% (56/365) of technically demanding proximal femoral fractures. The latter had a higher re-operation rate within 6 months, compared with the rate when more experienced surgeons were present. In logistic regression analysis combining age, gender, American Society of Anaesthesiologists score, New Mobility Score, time to surgery and type of implant, surgery by unsupervised junior registrars was still a significant independent risk factor for re-operation in technically demanding proximal femoral fractures. CONCLUSION: Unsupervised junior registrars should not operate on technically demanding proximal femoral fractures.

机译：目的：探讨行手术医生的经验和监督程度对股骨近端骨折（PFF）患者再手术率的影响。方法：在我们的多模式康复计划中，对2002年至2004年间连续进行的600例股骨近端骨折患者进行了前瞻性研究。术后6个月评估了再手术率。外科医生分为无监督的初级注册员和有经验的外科医生进行操作或监督。骨折按照技术上的要求或要求进行分层。结果：无监督的初级注册服务机构对全部技术要求较高的股骨近端骨折患者中的23％（137/600）和15％（56/365）进行了手术。与有经验的外科医生相比，后者在6个月内的再手术率更高。在将年龄，性别，美国麻醉医师学会评分，新流动性评分，手术时间和植入物类型相结合的逻辑回归分析中，无监督的初级注册服务机构进行的手术仍然是在技术要求较高的股骨近端骨折中再次手术的重要独立危险因素。结论：无监督的初级注册服务机构不应在技术要求较高的股骨近端骨折上进行手术。

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《Injury》 |2007年第7期|共5页
作者
Palm H; Jacobsen S; Krasheninnikoff M; Foss NB; Kehlet H; Gebuhr P;
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正文语种 eng
中图分类创伤外科学;
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Surgical aspects; experience; month; Hip Fractures; 髋骨折;

机译：手术方面;经验;月;髋部骨折;髋骨折;

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1. Influence of surgeon's experience and supervision on re-operation rate after hip fracture surgery. [J] . Palm H, Jacobsen S, Krasheninnikoff M, Injury . 2007,第7期

机译：外科医生的经验和监督对髋部骨折手术后再手术率的影响。
2. FRACTURES AND JOINT INJURIES. By Sir Reginald Watson-Jones, B.Sc., M.Ch.Orth., F.R.C.S., F.R.A.C.S. (Hon.), F.A.C.S. (Hon.). Orthopaedic Surgeon to His late Majesty King George VI; Director, Orthopaedic and Accident Service, The London Hospital; Senior Surgeon, Robert Jones and Agnes Hunt Orthopaedic Hospital; British Editor, Journal of Bone and Joint Surgery; Hunterian Professor, Royal College of Surgeons; Arthur Sims Commonwealth Travelling Professor of Surgery. 10 x 7? in. Fourth edition. In two volumes (not sold separately). Vol. I, Pp. xxiv+443, with 709 figures, many in colour. Index. 1952. Edinburgh: E. & S. Livingstone Ltd. Price ￡6 per set [J] . Gordon Gordon-Taylor The Journal of Bone and Joint Surgery. British VolumecBritish Orthopaedic Association , Australian Orthopaedic Association , Canadian Orthopaedic Association . . . [et al] . 1953,第1期

机译：骨折和关节受伤。雷金纳德·沃森·琼斯爵士（理查德·沃森·琼斯爵士） F.A.C.S. （先生）乔治六世国王je下的整形外科医生;伦敦医院骨科和事故服务主任;罗伯特·琼斯和艾格尼丝·亨特骨科医院高级外科医师;英国编辑，《骨与关节外科杂志》;皇家外科医学院猎人教授;亚瑟·西姆斯（Arthur Sims）联邦外科旅行教授。 10 x 7？ in。第四版。分两卷（不单独出售）。卷我，PP。 xxiv + 443，有709个数字，许多颜色。指数。 1952年。爱丁堡：E。＆S. Livingstone Ltd.价格每套6英镑
3. Surgeon’s experience level and risk of reoperation after hip fracture surgery: an observational study on 30,945 patients in the Norwegian Hip Fracture Register 2011–2015 [J] . Ane L Authen, Eva Dybvik, Ove Furnes, Acta orthopaedica. . 2018,第5期

机译：外科医生的经验水平和髋部骨折手术后再次手术的风险：2011-2015年挪威髋部骨折登记册中30945名患者的观察性研究
4. Surgeons' Experience in Reviewing Computer Tomography Influence the Diagnosis Accuracy of Blunt Abdominal Trauma [C] . Sun Libo, Xu Meng, Chen Lin, International symposium on IT in medicine and education . 2014

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5. Enhancing Surgical Education Using Video Playback: A Case Study on the Influence of Video Playback on the Nature and Experience of Feedback between Supervising Surgeons and Surgical Residents [D] . Hall, Jena Mae. 2018

机译：通过视频回放增强外科教育：以视频回放对指导外科医生与手术患者之间反馈的性质和经验的影响为例
6. Surgeon’s experience level and risk of reoperation after hip fracture surgery: an observational study on 30945 patients in the Norwegian Hip Fracture Register 2011–2015 [O] . Ane L Authen, Eva Dybvik, Ove Furnes, 2018

机译：外科医生的经验水平和髋部骨折手术后再次手术的风险：2011-2015年挪威髋部骨折登记册中30945名患者的观察性研究
7. Surgeon’s experience level and risk of reoperation after hip fracture surgery: an observational study on 30,945 patients in the Norwegian Hip Fracture Register 2011–2015 [O] . Ane L Authen, Eva Dybvik, Ove Furnes, 2018

机译：臀部骨折手术后外科医生的经验水平和重新进食风险：2011-2015的挪威髋关节骨折术登记术的30,945名患者的观察研究

Influence of surgeon's experience and supervision on re-operation rate after hip fracture surgery.

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