老年人的肋骨骨折管理:一个范围审查
Ibraheem Qureshi1, Ramu Kharel2, Nadia Mujahid3
1New York Institute of Technology College of Osteopathic Medicine.
Journal of Brown hospital medicine
|March 3, 2025
概括
照顾患有多重肋骨骨折的老年患者需要专门的管理,因为风险较高. 专注于疼痛控制和呼吸系统康复的多学科方法是改善老年患者治疗结果的关键.
科学领域:
- 老年医学 老年医学
- 创伤外科 手术 创伤外科
- 基于证据的医学基于证据的医学.
背景情况:
- 患有多重肋骨骨折的老年患者面临更高的发病率和死亡率.
- 在老年护理中,与伤害相关的慢性并发症的管理至关重要.
- 缺乏具体指导方针使老年人的肋骨骨折管理变得复杂.
研究的目的:
- 对老年患者多重肋骨骨折管理的现有证据进行审查.
- 为社区的初级保健提供者确定最佳实践.
- 为了解决老年人肋骨骨折管理的复杂性.
主要方法:
- 在PubMed和MEDLINE上进行了全面的文献搜索.
- 确定了2000年至2022年的57篇关于多重肋骨骨折管理的出版物.
- 研究类型包括回顾性,观察性,复习性,元分析,指导方针和随机对照试验.
主要成果:
- 大多数研究都是回顾性和观察性 (56%).
- 评论文章,元分析和指导方针占文献的32%.
- 随机对照试验的数量有限 (5.3%).
结论:
- 非手术治疗,包括控制疼痛和呼吸系统康复,占主导地位.
- 及时的分类协议可以加快对脆弱的老年患者的护理.
- 一个多学科的团队方法,涉及老年医生和其他专家,改善患者的结果.
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