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首页> 外文期刊>Injury >Health and cost consequences of surgical versus conservative treatment for a comminuted proximal humeral fracture in elderly patients.
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Health and cost consequences of surgical versus conservative treatment for a comminuted proximal humeral fracture in elderly patients.

机译：老年患者粉碎性肱骨近端骨折的手术与保守治疗相比，对健康和成本的影响。

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OBJECTIVE: This study aims to evaluate the costs and health outcome for surgical and conservative treatment of displaced proximal humeral fractures. DESIGN: This study is a randomised controlled trial. PARTICIPANTS: This study included 50 patients aged 60 or older admitted to hospital with a severely displaced three- or four-part fracture. INTERVENTIONS: The patients were treated surgically with an angular stable interlocking implant (25 patients) or conservative treatment (25 patients). MAIN OUTCOME MEASURE: The outcomes measured included quality-adjusted life years (QALYs) and societal costs. RESULTS: At 12 months' follow-up, the mean difference in the number of QALYs was 0.027 (95% confidence interval (CI)=-0.025, 0.078) while the mean difference in total health-care costs was 597 euro in favour of surgery (95% CI=-5291, 3777). CONCLUSION: There was no significant difference in QALYs or costs between surgical and conservative treatment of severe displaced proximal humeral fractures.
机译：目的：本研究旨在评估肱骨近端骨折移位手术和保守治疗的费用和健康结果。设计：本研究是一项随机对照试验。参与者：这项研究包括50名年龄在60岁以上的住院患者，其三部分或四部分骨折严重移位。干预措施：患者接受了角度稳定的互锁植入物（25例）或保守治疗（25例）的手术治疗。主要观察指标：测量结果包括质量调整生命年（QALYs）和社会成本。结果：在12个月的随访中，QALY的平均差为0.027（95％置信区间（CI）=-0.025，0.078），而总医疗费用的平均差为597欧元手术（95％CI = -5291，3777）。结论：手术和保守治疗严重移位的肱骨近端骨折之间的QALYs或费用没有显着差异。

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