不同脆弱性骨折的整形老年人护理结果
Carlos Pankratz1, Annika Risch2, Jacob Oxen2
1Department of Trauma-, Hand-, Plastic- and Reconstructive Surgery, University Ulm Medical Centre, Albert-Einstein-Allee 23, 89081, Ulm, Germany. Carlos.pankratz@uniklinik-ulm.de.
Archives of orthopaedic and trauma surgery
|July 22, 2023
概括
所有患有脆弱性骨折 (FF) 的老年患者都受益于正经老年联合治疗,改善结果并减少并发症. 这种方法对于增强患者康复和整体幸福感至关重要.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 创伤护理 创伤护理
背景情况:
- 脆弱性骨折 (FF) 在老年人中显著增加了发病率和死亡率,通常在部骨折之前发生.
- 虽然近端股骨骨折得到了很大的关注,但FF影响了多个身体部位.
- 整形老年联合治疗是一种经过验证的策略,可以改善患者的治疗结果.
研究的目的:
- 评估对所有患有脆弱性骨折的老年患者进行正确老年联合治疗的好处.
- 评估这种综合护理模式对患者结果的影响,包括死亡率,并发症和功能状态.
主要方法:
- 从2019-2021年对70岁以上的FF患者 (部,周围假肢,脊椎,骨盆,大腿) 的回顾性评估.
- 数据收集包括人口统计,骨折类型,并发症,出院方式和住院死亡率.
- 对转移到老年病房的患者记录了巴特尔指数 (BI) 和出院方式;进行了后勤回归分析.
主要成果:
- 评估了555名患者,44.1%接受了正老年治疗.
- 总体而言,住院死亡率为8.6%;养老院居民的死亡率更高.
- 整形老年症治疗显著提高了巴特尔指数得分,对于生活在家中的患者和没有痴呆症的患者来说,益处更大.
结论:
- 所有患有脆弱性骨折的患者都面临高风险,并受益于标准化的正经老年人管理.
- 整体的正经老年治疗方法对于改善患者在现代护理中的结果至关重要.
- 这种模型有助于减少并发症,并改善老年骨折患者的功能恢复.
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