Gijs J A Willinge, Jelle F Spierings, Ton Weert, Bas A Twigt, J Carel Goslings, Ruben N van Veen
{"title":"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。","authors":"Gijs J A Willinge, Jelle F Spierings, Ton Weert, Bas A Twigt, J Carel Goslings, Ruben N van Veen","doi":"10.1177/17531934231187830","DOIUrl":null,"url":null,"abstract":"<p><p>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.<b>Level of evidence:</b> III.</p>","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":" ","pages":"341-349"},"PeriodicalIF":2.0000,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Efficiency of a virtual fracture care protocol in non-operative treatment of adult patients with a distal radial fracture.\",\"authors\":\"Gijs J A Willinge, Jelle F Spierings, Ton Weert, Bas A Twigt, J Carel Goslings, Ruben N van Veen\",\"doi\":\"10.1177/17531934231187830\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>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.<b>Level of evidence:</b> III.</p>\",\"PeriodicalId\":54813,\"journal\":{\"name\":\"Journal of Hand Surgery-European Volume\",\"volume\":\" \",\"pages\":\"341-349\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2024-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Hand Surgery-European Volume\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/17531934231187830\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/7/17 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Hand Surgery-European Volume","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/17531934231187830","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/7/17 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
Efficiency of a virtual fracture care protocol in non-operative treatment of adult patients with a distal radial fracture.
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.
期刊介绍：
The Journal of Hand Surgery (European Volume) is essential reading for everyone involved in restoring the function to the hand and upper limb. Dedicated to the needs of hand, plastic, reconstructive and orthopaedic surgeons, it publishes the best selection of current papers on hand surgery.
The journal regularly highlights key developments in a range of original, authoritative and highly informative articles written by distinguished experts from around the world. Rapid coverage of the latest research, techniques, trends and ideas to make sure you stay up-to-date.
Subjects covered include:
joint replacement
fracture and joint injuries
microvascular surgery
congenital hand problems
You will also find editorials, book reviews, conference dates, case studies, detailed coverage of new techniques and full-length reviews articles.
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