Email this article Process approach to management of patients with proximal femur fracture in city out-patient hospital
- Authors: Nazarkina I.M.1, Suslin S.A.2, Khmelevskikh O.V.1, Fedoseev M.M.1, Bratiychuk A.N.2, Izmalkov S.N.2
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Affiliations:
- Samara City Clinical Out-patient Hospital №15
- Samara State Medical University
- Issue: Vol 4, No 3 (2019)
- Pages: 46-49
- Section: Public Health and Healthcare
- URL: https://ogarev-online.ru/2500-1388/article/view/43771
- DOI: https://doi.org/10.35693/2500-1388-2019-4-3-46-49
- ID: 43771
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Abstract
Objectives – to analyze the results of process approach to managing patients with proximal femur fracture during one year after the injury, in primary health care center.
Materials and methods. We compared the clinical data of patients with proximal femur fracture before the implementation of process management in primary health care and after it. The total number of patients was 233. We used statistical, analytical research methods, as well as organizational modeling.
Results. The active use of process approach in the clinic resulted in statistically significant improvement in patients' complete rehabilitation, reduction of the number of local and general complications, and decrease of mortality rate during the first year after the injury from 35.2% to 8.5%.
Conclusion. At the stage of primary health care, a step-by-step algorithm, which activates the patients effectively by involving a surgeon, a therapist and the patient's relatives in the rehabilitation process, contributes to mortality reduction, improvement of treatment and rehabilitation results.
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##article.viewOnOriginalSite##About the authors
Irina M. Nazarkina
Samara City Clinical Out-patient Hospital №15
Author for correspondence.
Email: sasuslin@mail.ru
ORCID iD: 0000-0002-4395-2365
PhD, Associate Professor, Chief Physician
Russian Federation, SamaraSergey A. Suslin
Samara State Medical University
Email: sasuslin@mail.ru
ORCID iD: 0000-0003-2277-216X
PhD, Head of the Public Health and Healthcare Department
Russian Federation, SamaraOleg V. Khmelevskikh
Samara City Clinical Out-patient Hospital №15
Email: sasuslin@mail.ru
ORCID iD: 0000-0003-3623-5824
Head of Surgery
Russian Federation, SamaraMichail M. Fedoseev
Samara City Clinical Out-patient Hospital №15
Email: sasuslin@mail.ru
ORCID iD: 0000-0003-1052-6164
orthopedic trauma doctor
Russian Federation, SamaraAleksandr N. Bratiychuk
Samara State Medical University
Email: sasuslin@mail.ru
ORCID iD: 0000-0003-3953-968X
PhD, Professor, Department of traumatology, orthopedics and outpatient surgery in the Institute of Postgraduate Education
Russian Federation, SamaraSergey N. Izmalkov
Samara State Medical University
Email: sasuslin@mail.ru
ORCID iD: 0000-0002-0108-597X
PhD, Professor, Head of Department of traumatology, orthopedics and outpatient surgery in the Institute of Postgraduate Education
Russian Federation, SamaraReferences
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