在资源有限的环境中进行部骨折手术:一个系统的文献综述
Sara N Kiani1, Verena Oberlohr1, Hannah Elsevier1
1Orthopaedic Trauma Institute, Institute for Global Orthopaedics and Traumatology, Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, CA.
OTA international : the open access journal of orthopaedic trauma
|January 31, 2025
概括
在低收入国家对老年关节骨折的研究很少. 这一系统性审查强调,需要对资源有限的环境中的治疗和结果进行更多研究,以改善患者护理.
科学领域:
- 老年人骨科的骨科治疗
- 全球健康 全球健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 全球预期寿命的增加导致脆弱性骨折的增加,特别是部骨折.
- 低收入和中低收入国家 (LIC和LMIC) 面临着由于缺乏资源的医疗保健系统和社会经济差异而导致的关节骨折管理的重大挑战.
- 与高收入国家相比,LIC和LMIC的关节骨折患者护理受到了不成比例的影响.
研究的目的:
- 在资源较少的地区系统地审查和确定关节骨折护理的治疗趋势和结果.
- 确定有关LIC和LMIC中关节骨折管理的初级文献中的差距.
主要方法:
- 在PubMed,Web of Science和Embase数据库中进行了系统的文献搜索.
- 通过使用DistillerSR系统审查软件进行了研究选,其中包括两个独立研究人员的标题/摘要和全文选.
- 数据提取侧重于国家,研究设计,骨折位置,治疗和结果.
主要成果:
- 搜索确定了2533个摘要,其中24篇文章符合最终数据提取的包含标准.
- 选择的研究提供了关于在资源有限的环境中治疗关节骨折的数据.
结论:
- 在LICs和LMICs中对老年关节骨折的研究显著缺乏.
- 进一步的研究对于在资源有限的环境中根据骨折类型和相关并发症来描述首选的治疗方法至关重要.
- 需要更好的理解,以提高这些地区的关节骨折护理和患者的治疗结果.
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