高齢者の股関節骨折における一次言語と周術期予後の関連
David A Bloom1, Garrett W Esper1, Christopher G Herbosa1
1Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, New York, New York.
Bulletin of the Hospital for Joint Disease (2013)
|February 4, 2026
まとめ
股関節骨折の非英語話者患者は、英語話者と同様に、適時手術を受けている。これは、標準化されたプロトコルと翻訳サービスの有効性を、公平な患者転帰を保証する上で強調するものである。
科学分野:
- 整形外科
- 医療サービス研究
- 医療公平性
背景:
- 股関節骨折は、高齢者における罹患および死亡の一般的な原因である。
- 股関節骨折後の最適な患者転帰には、適時の外科的介入が不可欠である。
- 言語の壁は、医療へのアクセスおよび適時の治療に影響を与える可能性がある。
主な方法:
- 55歳以上の股関節骨折手術を受けた患者(2014年から2021年)の後ろ向きコホート研究。
- 一次言語に基づいて英語話者(E)コホートと非英語話者(NE)コホートに患者を分類した。
- 人口統計学的情報、病院の質指標、および転帰を分析し、手術までの時間に焦点を当てた。
結論:
- 股関節骨折の非英語話者患者は、英語話者と同様の手術時期と入院期間を経験する。
- 効果的な標準化プロトコルと容易に利用可能な翻訳サービスは、言語の壁を軽減し、公平なケアを保証するために不可欠である。
- この研究は、多様な患者集団における整形外科手術における言語アクセスサービスの重要性を強調するものである。
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