对临床骨骨折的患者指导的随访
Abhishek Chaturvedi1, Heather Russell2, Matthew Farrugia3
1Department of Trauma and Orthopaedics, University Hospital Wishaw, Wishaw, UK.
Bone & joint open
|February 8, 2024
概括
对于疑似骨骨折的患者领导的新途径是安全有效的. 这种方法减少了不必要的MRI扫描和诊所访问,改善了患者的治疗结果并节省了成本.
科学领域:
- 整形外科手术 整形外科手术
- 紧急医疗 紧急医疗
- 放射学 放射学是一门学科.
背景情况:
- 隐藏的骨骨折具有挑战性,通常需要昂贵的MRI扫描.
- 传统的管理导致延误,辐射暴露和潜在的残疾.
- 目前的诊断方法耗时且资源密集.
研究的目的:
- 评估一种精简的,以患者为中心的途径,用于怀疑隐藏的骨骨折.
- 评估自我推系统的安全性和有效性.
- 为了降低成本,提高管理这些伤害的效率.
主要方法:
- 实施了一种质量改善途径,包括可拆卸的片和患者自我评估.
- 如果疼痛持续下去,患者自行推进行随访.
- 为了持续的临床症状,紧急的MRI扫描被要求进行,随后是专家转诊.
主要成果:
- 在442名患者中,只有16%的患者需要MRI,其阳性率为10%.
- 报告没有错过骨折,非结合或不良结合.
- 通过减少面对面的审查和不必要的扫描,实现了显著的成本节约.
结论:
- 由患者发起的"选择参与"系统是一种安全有效的管理策略.
- 这一途径简化了疑似隐形骨骨折的护理.
- 这种方法在成本效益和患者体验方面提供了显著的好处.
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