Green channel channel improving efficacy and safety of the treatment of elderly patients with hip fractures
10.16781/j.0258-879x.2017.04.0421
- Author:
Lie-Hu CAO
1
Author Information
1. Department of Orthopaedic Trauma, Changhai Hospital, Second Military Medical University
- Publication Type:Journal Article
- Keywords:
Aged;
Complications;
Green channel;
Hip fractures
- From:
Academic Journal of Second Military Medical University
2017;38(4):421-425
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the application of the Green channel in the treatment of elderly patients with hip fracture, so as to provide a reference for the standardized treatment. Methods We retrospectively analyzed the clinical data of 115 elderly patients (≥75 years) with hip fractures treated in hospital from Jun. 2014 to Jun. 2015. The patients were treated through the Green channel (Green channel group, n=58) or received conventional treatment (normal group, n=57). The waiting time for operation, operation time, bleeding volume, hospital stay, and postoperative systemic and local complications during hospitalization were compared between the two groups. Results The waiting time for operation of patients in the Green channel group (median 43.6 h) was significantly shorter than that in the normal group (median 136.8 h, P<0.01), and the hospital stay of patients in the Green channel group ([4.3±1.2] d) was significantly shorter than that in the normal group ([8.5±2.5] d, P<0.05). There was no significant difference in the operation time or bleeding volume between the two groups (P>0.05). The incidence of complications of patients in the Green channel group (11/58, 19.0%) was significantly higher than that in the normal group (29/57, 50.9%; P< 0.01). The incidences of pulmonary infection and pressure sores of patients in the Green channel group were significantly lower than those in the normal group (3.4% [2/58] vs 14.0% [8/57], P<0.05; 3.4% [2/58] vs 15.8% [9/57], P<0.05). There was no significant difference in the incidences of pulmonary embolism, cerebral infarction, deep vein thrombosis, myocardial infarction, or incision infection between the two groups. Conclusion Application of the Green channel in the treatment of elderly patients with hip fracture can allow early surgery under suitable conditions, which is conducive to reduce hospital stay and postoperative complications, and can promote the recovery of hip function, indicating that the Green channel has an important significance for standardized treatment of eldery patients with hip fractures.
