METHODS: An expert panel gathered possible outcomes after a hip fracture, which were transformed into statements where participants indicated their relative importance on a 100-point scoring scale during interviews. These GOC were ranked using medians and deemed important if the median score was 90 or above. Patients were aged 70 years or older with a hip contusion due to similarities with the hip fracture population. Three cohorts based on frailty criteria and the diagnosis of dementia were made.
RESULTS: Preserving cognitive function, being with family and being with partner scored in all groups among the most important GOC. Both non-frail and frail geriatric patients scored return to pre-fracture mobility and maintaining independence among the most important GOC, where proxies of patients with a diagnosis of dementia scored not experiencing pain as the most important GOC.
CONCLUSIONS: All groups scored preserving cognitive function, being with family and being with partner among the most important GOC. The most important GOC should be discussed when a patient is presented with a hip fracture. Since patients preferences vary, a patient-centered assessment of the GOC remains essential.
方法:专家小组收集了髋部骨折后的可能结果,将其转化为陈述,其中参与者在访谈期间在100分得分量表上表明了他们的相对重要性。使用中位数对这些GOC进行排名,如果中位数得分为90或以上,则认为这些GOC很重要。由于与髋部骨折人群的相似性,患者年龄在70岁或以上,患有髋部挫伤。根据虚弱标准和痴呆的诊断进行了三个队列。
结果:保持认知功能,在最重要的GOC中,与家人在一起,与伴侣在所有组中得分。在最重要的GOC中,非虚弱和虚弱的老年患者均恢复了骨折前的活动性并保持了独立性,其中被诊断为痴呆症的患者的代理评分为未经历疼痛是最重要的GOC。
结论:所有组得分保持认知功能,与家人在一起,与最重要的GOC伙伴在一起。当患者出现髋部骨折时,应讨论最重要的GOC。由于患者的偏好不同,以患者为中心的GOC评估仍然至关重要.