期刊论文详细信息
BMC Geriatrics
Optimal care for the management of older people non-weight bearing after lower limb fracture: a consensus study
M. Kerr1  A. Caswell1  S. Aloraibi2  K. Robinson3  E. Lunt3  V. Booth3  B. Ollivere3  J. Gladman4  A. L. Gordon5  D. Godfrey6 
[1] Division of Rehabilitation, Ageing and Wellbeing, The Medical School, Queens Medical Centre, University of Nottingham, B109, Floor B, Derby Road, NG7 2UH, Nottingham, UK;Division of Rehabilitation, Ageing and Wellbeing, The Medical School, Queens Medical Centre, University of Nottingham, B109, Floor B, Derby Road, NG7 2UH, Nottingham, UK;Division of Rehabilitation, Ageing and Wellbeing, NIHR Nottingham Biomedical Research Centre, Medical School, QMC, B111, NG7 2UH, Nottingham, UK;Division of Rehabilitation, Ageing and Wellbeing, The Medical School, Queens Medical Centre, University of Nottingham, B109, Floor B, Derby Road, NG7 2UH, Nottingham, UK;Division of Rehabilitation, Ageing and Wellbeing, NIHR Nottingham Biomedical Research Centre, Medical School, QMC, B111, NG7 2UH, Nottingham, UK;Queen’s Medical Centre, Nottingham University Hospitals NHS Trust, Room WC1388 Level C, West Block, NG7 2UH, Nottingham, UK;Division of Rehabilitation, Ageing and Wellbeing, The Medical School, Queens Medical Centre, University of Nottingham, B109, Floor B, Derby Road, NG7 2UH, Nottingham, UK;Division of Rehabilitation, Ageing and Wellbeing, NIHR Nottingham Biomedical Research Centre, Medical School, QMC, B111, NG7 2UH, Nottingham, UK;Queen’s Medical Centre, Nottingham University Hospitals NHS Trust, Room WC1388 Level C, West Block, NG7 2UH, Nottingham, UK;NHR Applied Research Collaboration (ARC) East Midlands, Nottingham, UK;Division of Rehabilitation, Ageing and Wellbeing, The Medical School, Queens Medical Centre, University of Nottingham, B109, Floor B, Derby Road, NG7 2UH, Nottingham, UK;Division of Rehabilitation, Ageing and Wellbeing, NIHR Nottingham Biomedical Research Centre, Medical School, QMC, B111, NG7 2UH, Nottingham, UK;Royal Derby Hospital, University Hospitals of Derby and Burton NHS Foundation Trust, Derby Medical School, Room DSN407, DE22 3NE, Derby, UK;Nottinghamshire Healthcare NHS Foundation Trust, Lings Bar Hospital, Beckside, Gamston, NG2 6PR, Nottingham, UK;
关键词: Lower limb fractures;    Non-weight bearing;    Delphi process;    Old people;   
DOI  :  10.1186/s12877-021-02265-z
来源: Springer
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【 摘 要 】

BackgroundOlder people who are non-weight-bearing after a lower limb fracture are at risk of poor outcomes but there are no clinical guidelines for this group of patients. Given the paucity of the research evidence base, we conducted a consensus exercise to ascertain expert opinion about the management of this group.MethodsA three-round e-Delphi technique was planned to use the online JISC survey tool with a multidisciplinary panel of health professionals. Panellists were invited by email via professional organisations and UK NHS Trusts. The initial statements for this study were prepared by the authors based upon the findings of their scoping review. Consensus required >/= 70% agreement with statements.ResultsOnly 2 survey rounds were required. Ninety panellists, representing seven clinical disciplines, reached consensus for 24 statements about general issues (osteoporosis detection and management, falls risk reduction and nutrition) and specific non-weight bearing issues (such as the need for activity to be promoted during this period).ConclusionsThese findings can be used in the generation of a clinical guideline for this group of patients.

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