以价值为导向的儿科骨骨折护理:实施基于证据的实践
1From the Department of Orthopaedic Surgery, Univeristy of Connecticut School of Medicine, Pediatric Orthopaedic and Hand Surgery, Connecticut Children's Medical Center, Hartford, CT.
概括
优化儿科上骨骨折治疗可以降低医疗保健成本并改善患者的治疗结果. 以价值为导向的策略,包括门诊手术和 splinting,是有效治疗这些常见的童年伤害的关键.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形医生 儿科整形医生
- 医疗保健管理的管理
背景情况:
- 骨骨折在儿童中很常见,影响患者,家庭和医疗保健系统.
- 有效的管理对于优化儿科骨科护理价值至关重要.
研究的目的:
- 为了评估儿科supracondylar骨骨折的价值驱动的治疗策略.
- 确定提高效率和降低成本的机会,而不会影响患者的治疗结果.
主要方法:
- 对儿科上下骨骨折的治疗方案的审查.
- 分析与不同手术时间,设置和固定方法相关的结果.
- 儿科和非儿科外科医生之间以及社区和教学医院之间的护理效率的比较.
主要成果:
- 5岁以下的儿童可以重塑后角;IIa型骨折通常在封闭缩小后保持对齐.
- 门诊手术导致更短的时间,更低的成本,更少的ED访问,而不会增加不良事件.
- 对于许多手术骨折,非紧急固定是安全的;III型骨折和神经损伤在延迟治疗时没有不良结果.
- 儿科外科医生提供高效的护理与同等的结果;社区医院更具成本效益.
- 与造相比,铁是一种更安全,更低成本的固定选择.
结论:
- 简化术后护理,利用门诊设施,并在适当的情况下优先考虑非手术治疗是必不可少的.
- 儿科上骨骨折的价值驱动护理包括优化手术时间,设置和术后管理.
- 尽量减少非必要的干预和利用具有成本效益的资源可以提高医疗保健的整体价值.
更多相关视频
07:35Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
Published on: April 11, 2012
18.4K
05:42Orthopedic Robot-Assisted Femoral Neck System in the Treatment of Femoral Neck Fracture
Published on: March 3, 2023
2.5K
相关概念视频
01:27Fractures: Bone Repair
3.2K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.2K
01:26Flail Chest-II
168
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
168