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对老年关节骨折实施多学科手术前方案改善了III级创伤中心手术的时间

Jacob R Meyer¹, Ryan E Earnest², Brian M Johnson¹

¹Department of Orthopaedic Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA.

Geriatric orthopaedic surgery & rehabilitation

|June 16, 2023

概括

一项针对老年关节骨折患者的新方案显著减少了III级创伤中心手术 (TTS) 的时间. 虽然起初逗留时间 (LOS) 增加了,但这归因于外部因素,而不是协议本身.

科学领域:

老年人创伤外科手术
整形外科手术的结果
卫生保健协议实施方案

背景情况:

部骨折在老年人群中是一个重要的健康问题.
手术时间延迟 (TTS) 和延长停留时间 (LOS) 与死亡风险增加有关.
手术前的多学科协议在大型创伤中心已经证明了其有效性.

研究的目的:

评估老年骨折患者多学科手术前治疗方案的影响.
评估该协议的有效性,特别是在III级创伤中心.

主要方法:

一个单一中心的回顾性研究比较了两组65岁及以上的患者.
第1队列 (n=247):协议前组 (2016年3月至2018年12月).
第2队列 (n=169):协议后组 (2021年8月至2022年9月).
人口统计数据,TTS和LOS被收集并使用学生的t测试和Chi-square测试进行分析.

主要成果:

在术后组 (P < .001) 观察到手术时间 (TTS) 的统计学显著减少.
首先,住宿时间 (LOS) 显著增加 (P < .05).
然而,协议后组的一个子组 (2022年5月至9月入院) 与协议前组相比,LOS没有显著差异 (P = .13).
接受熟练护理设施 (SNF) 的患者在后协议组 (P = .001) 经历了显著更长的LOS.

结论:

一个多学科的手术前方案可以有效地减少老年人骨折患者手术的时间,即使是在III级创伤中心.
该协议提高了效率,并可能减轻与手术延迟相关的死亡风险.
逗留时间是多因素的;COVID-19大流行可能会影响SNF床位的可用性,从而混LOS结果.

关键词:

在 COVID-19 疫情中,老年人的创伤.部骨折骨折部骨折骨折这是一个多学科的多学科教育.协议协议协议协议协议到了手术的时间.

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