Hip fractures are an important cause of death and functional dependence in the United States.
To review the evidence for clinical decisions that medical consultants make for patients with hip fracture and to develop recommendations for care.
Published reports of clinical studies were found by searching MEDLINE and selected bibliographies.
Studies were included if data were presented on clinical interventions to improve care of conditions typically encountered by medical consultants in the care of patients with hip fracture.
Such conditions include timing of surgery, infection prophylaxis, thromboembolic prophylaxis, postoperative nutritional management, urinary tract management, prevention and management of delirium, application and timing of rehabilitation services, and prevention of subsequent falls.
Meta-analyses ; randomized, controlled trials ; or other controlled studies were included if possible.
If no such trials were identified, the best evidence from studies with other designs was included.
Interventions were selected on the basis of their efficacy or potential efficacy in improving functional outcome.
Trials with positive and negative results were compared for differences in intervention and strength of study methods. (...)
Mots-clés Pascal : Fracture, Hanche, Exploration clinique, Etiopathogénie, Critère décision, Prévention, Facteur risque, Article synthèse, Homme, Etats Unis, Amérique du Nord, Amérique, Système ostéoarticulaire pathologie, Traumatisme
Mots-clés Pascal anglais : Fracture, Hip, Clinical investigation, Etiopathogenesis, Decision criterion, Prevention, Risk factor, Review, Human, United States, North America, America, Diseases of the osteoarticular system, Trauma
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0321967
Code Inist : 002B16H. Création : 27/11/1998.