Volume 20 Issue 2
Feb.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(2): 282-285
WANG Lin-xia, PENG Mian-mian, JIN Xi-xi, ZHU Si-pin. Whole process management by MDT mode in elderly orthopaedic patients during the peri-operative period[J]. Chinese Journal of General Practice, 2022, 20(2): 282-285. doi: 10.16766/j.cnki.issn.1674-4152.002333
Citation: WANG Lin-xia, PENG Mian-mian, JIN Xi-xi, ZHU Si-pin. Whole process management by MDT mode in elderly orthopaedic patients during the peri-operative period[J]. Chinese Journal of General Practice, 2022, 20(2): 282-285. doi: 10.16766/j.cnki.issn.1674-4152.002333
shu

Whole process management by MDT mode in elderly orthopaedic patients during the peri-operative period

doi: 10.16766/j.cnki.issn.1674-4152.002333
  • 1.

    Department of Pain, Yuying Children's Hospital, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China

Funds:

 2021KY212

  • Received Date: 2021-08-09
    Available Online: 2022-03-04
    Abstract
  •   Objective  To explore the application effect of whole process management by MDT mode in elderly orthopaedic patients during the peri-operative period.  Methods  According to the order of admission time, 139 elderly surgical patients who were treated in the Orthopaedics Department of Yuying children's Hospital of the Second Affiliated Hospital of Wenzhou Medical University from March to September 2019 and received the traditional management mode during the peri-operative period were taken as the routine group. Then, 143 elderly patients who were treated in the Department of orthopaedics from October 2019 to April 2020 and used the whole process management by MDT mode during the peri-operative period were selected as the intervention group. The whole process management by MDT mode of pre-operative multidisciplinary team evaluation → intraoperative management → rapid post-operative rehabilitation → discharge follow-up was adopted. The pre-operative waiting time and hospitalisation time of the two groups were compared. The incidence of peri-operative complications, such as joint dysfunction, pressure injury, pulmonary infection and lower extremity deep venous thrombosis, were compared between the two groups.  Results  The pre-operative waiting time of 2 (2, 4) days in the intervention group was shorter than 6 (3, 7) days in the routine group. The hospitalisation time of 10 (6, 14) days in the intervention group was shorter than the 14 (10, 17) days in the routine group (all P < 0.05). The incidence of peri-operative complications in the intervention group (1.40%) was significantly lower than that in the routine group (10.07%, P < 0.05).  Conclusion  Application of whole process management by MDT mode in the peri-operative period of elderly orthopaedic patients can effectively shorten the pre-operative waiting time and hospitalisation time of elderly orthopaedic patients and reduce the incidence of peri-operative complications in elderly orthopaedic patients. It has certain guiding significance for the promotion and application of whole process management by MDT mode in the clinical practice of elderly orthopaedic patients.

     

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