Efficiency of a virtual fracture care protocol in non-operative treatment of adult patients with a distal radial fracture.

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2024-03-01 Epub Date: 2023-07-17 DOI:10.1177/17531934231187830

Gijs J A Willinge, Jelle F Spierings, Ton Weert, Bas A Twigt, J Carel Goslings, Ruben N van Veen

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Abstract

This study aimed to determine the effects of virtual fracture care (VFC) on secondary healthcare utilization in non-operative treatment of adult patients with a distal radial fracture. A retrospective cohort study was performed, including those who received non-operative treatment without VFC (pre-VFC) and with VFC (VFC). Outcomes included secondary healthcare utilization, calculated treatment costs, emergency department (ED) reattendances and complication rates. In total, 88 pre-VFC and 99 VFC patients were included. Pre-VFC patients had more follow-up appointments, with a median of 4 (IQR: 3) versus a median of 4 (IQR: 1) in VFC patients. In addition, 3% of follow-up appointments for pre-VFC patients were performed remotely compared to 18% for VFC patients. Complications and ED reattendances were comparable between groups. In this study, non-operative treatment of adult patients with a distal radial fracture through VFC reduced secondary healthcare utilization, with similar reported complication and ED reattendance rates compared with treatment without VFC.Level of evidence: III.

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虚拟骨折护理方案在桡骨远端骨折成年患者非手术治疗中的效率。

本研究旨在确定虚拟骨折护理（VFC）对桡骨远端骨折成年患者非手术治疗中二次医疗利用率的影响。研究人员进行了一项回顾性队列研究，其中包括未接受虚拟骨折护理（VFC 前）和接受虚拟骨折护理（VFC）的非手术治疗患者。研究结果包括二次医疗利用率、治疗成本计算、急诊科（ED）复诊率和并发症发生率。共纳入了 88 名 VFC 前和 99 名 VFC 患者。VFC前患者的复诊次数较多，中位数为4次（IQR：3），而VFC患者的中位数为4次（IQR：1）。此外，VFC 前患者有 3% 的复诊是远程进行的，而 VFC 患者有 18% 的复诊是远程进行的。两组患者的并发症和急诊室复诊率相当。在这项研究中，通过VFC对桡骨远端骨折的成年患者进行非手术治疗减少了二次医疗利用率，与未进行VFC治疗的患者相比，并发症和急诊室复诊率相似：证据等级：III。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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