前臂骨折 - - 我们在计算它们吗? 试图识别并包括在初级保健中治疗的缺失骨折
Cecilie Dahl1, Eyvind Ohm2, Siri Marie Solbakken3
1Department of Community Medicine and Global Health, University of Oslo, Institute of Health and Society, Oslo, Norway.
Scandinavian journal of primary health care
|July 7, 2023
概括
在挪威,前臂骨折的发生率可能被低估,因为7.4%的病例仅在初级保健中注册. 这一比例因地区而异,突出显示需要包括初级保健数据以获得准确的骨折率.
科学领域:
- 整形外科 整形外科 整形外科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 前臂骨折在挪威很常见,但发病率可能被低估.
- 二级护理登记可能会错过仅在初级护理中治疗的骨折.
研究的目的:
- 估计仅在初级保健中注册的前臂骨折的比例.
- 评估初级保健和二级保健前臂骨折诊断之间的一致性.
主要方法:
- 一项使用2008-2019年全国数据的质量保证研究.
- 从初级保健 (挪威控制和支付医疗补偿) 和二级保健 (挪威患者登记) 获得的前臂骨折的综合数据.
- 在初级 (n=83,357) 和二级 (n=3,294,336) 治疗的成年患者 (≥20岁) 的分析诊断.
主要成果:
- 在189105例前臂骨折登记中,13948例 (7.4%) 仅在初级保健中.
- 只有初级注册的比例在各县平均从4.9%到13.5%不等,在一些市镇超过30%.
- 在初级护理中也见到的初级护理骨折中,62%是事故骨折.
结论:
- 一个很小但很大的比例的前臂骨折仅在初级保健中注册.
- 排除初级保健数据可能会导致低估前臂骨折发生率,特别是在挪威特定地区.
- 准确的发病率需要整合初级和二级护理数据.
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