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首页> 外文期刊>Geriatric orthopaedic surgery & rehabilitation. >The Effectiveness of a Geriatric Hip Fracture Clinical Pathway in Reducing Hospital and Rehabilitation Length of Stay and Improving Short-Term Mortality Rates
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The Effectiveness of a Geriatric Hip Fracture Clinical Pathway in Reducing Hospital and Rehabilitation Length of Stay and Improving Short-Term Mortality Rates

机译:老年髋部骨折临床途径在减少医院和住院时间,提高短期死亡率方面的有效性

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Abstract Background: A geriatric hip fracture clinical pathway, led by an orthopedic surgeon, was developed in 2007. This clinical pathway team is multidisciplinary and consists of surgeons, physicians, anesthetists, nurses, physiotherapists, occupational therapists, medical social workers, dieticians as well as voluntary support groups. Methods: From early 2007 onward, all patients older than 65 years with acute isolated hip fractures were included. During the whole inpatient treatment, all relevant data were captured prospectively. The data in 2006, before the implementation of the clinical pathway, were collected retrospectively through computer record system. A study of the length of stay in acute and rehabilitation hospital and also the short-term mortality rate was carried out to compare the difference before and after the implementation of the pathway. Results: From 2007 onward, more than 1300 hip fractures were treated. After the implementation of the pathway, the preoperative length of stay was markedly shortened by 4 days, from an average of 6.1 days in 2006 to 1.5 days in 201 I (P < .05). The postoperative length of stay and the overall acute hospital length of stay also improved significantly. The length of stay in rehabilitation hospital was also significantly shorter in the 4-year period. Although the number of hip fractures increased annually with increased age and number of comorbidities each year, the inpatient mortality rate showed a gradual decrease from 2.7% in 2006 to 1.25% in 2010. The 30 days mortality rate also showed a decrease from 3.65% in 2006 to 2.75% in 2010. Conclusion: Geriatric hip fracture clinical pathway is an excellent approach to the geriatric hip fracture service. The most significant improvement is the dramatic shortening of the length of hospital stay. Our success in the past 5 years has proven its value and sustainability.Keywords geriatric hip fractures, clinical pathway, multidisciplinary, length of hospital stay, mortality rate
机译:摘要背景:于2007年开发了由骨科医生负责的老年髋部骨折临床途径。该临床途径团队是多学科的,由外科医生,医师,麻醉师,护士,物理治疗师,职业治疗师,医务社会工作者,营养师组成作为自愿支持团体。方法:从2007年初开始,纳入所有65岁以上急性孤立性髋部骨折的患者。在整个住院治疗期间,所有相关数据均被前瞻性捕获。通过计算机记录系统回顾性收集2006年的临床资料。对急性和康复医院的住院时间以及短期死亡率进行了研究,以比较该途径实施前后的差异。结果:从2007年起,共治疗了1300例髋部骨折。实施该途径后,术前住院时间明显缩短了4天,从2006年的平均6.1天缩短到201 I的1.5天(P <.05)。术后住院时间和总体急性住院时间也明显改善。在四年期间,康复医院的住院时间也明显缩短。尽管髋部骨折的数量每年随着年龄的增长和合并症的数量的增加而逐年增加,但住院死亡率从2006年的2.7%逐渐下降到2010年的1.25%。30天死亡率也从2006年的3.65%下降。 2006年至2010年为2.75%。结论:老年性髋部骨折的临床路径是老年性髋部骨折服务的绝佳途径。最大的改善是住院时间的显着缩短。我们过去5年的成功证明了其价值和可持续性。关键词老年性髋部骨折,临床路径,多学科,住院时间,死亡率

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