Efficiency of a virtual fracture care protocol in non-operative treatment of adult patients with a distal radial fracture.

Autor:	Willinge GJA; Department of Trauma Surgery, OLVG Hospital, Amsterdam, the Netherlands., Spierings JF; Department of Trauma Surgery, St. Antonius Hospital Utrecht, Nieuwegein, the Netherlands., Weert T; Department of Trauma Surgery, OLVG Hospital, Amsterdam, the Netherlands., Twigt BA; Department of Trauma Surgery, OLVG Hospital, Amsterdam, the Netherlands., Goslings JC; Department of Trauma Surgery, OLVG Hospital, Amsterdam, the Netherlands., van Veen RN; Department of Trauma Surgery, OLVG Hospital, Amsterdam, the Netherlands.
Jazyk:	angličtina
Zdroj:	The Journal of hand surgery, European volume [J Hand Surg Eur Vol] 2024 Mar; Vol. 49 (3), pp. 341-349. Date of Electronic Publication: 2023 Jul 17.
DOI:	10.1177/17531934231187830
Abstrakt:	This study aimed to determine the effects of virtual fracture care (VFC) on secondary healthcare utilization in non-operative treatment of adult patients with a distal radial fracture. A retrospective cohort study was performed, including those who received non-operative treatment without VFC (pre-VFC) and with VFC (VFC). Outcomes included secondary healthcare utilization, calculated treatment costs, emergency department (ED) reattendances and complication rates. In total, 88 pre-VFC and 99 VFC patients were included. Pre-VFC patients had more follow-up appointments, with a median of 4 (IQR: 3) versus a median of 4 (IQR: 1) in VFC patients. In addition, 3% of follow-up appointments for pre-VFC patients were performed remotely compared to 18% for VFC patients. Complications and ED reattendances were comparable between groups. In this study, non-operative treatment of adult patients with a distal radial fracture through VFC reduced secondary healthcare utilization, with similar reported complication and ED reattendance rates compared with treatment without VFC. Level of evidence: III. Competing Interests: Declaration of conflicting interestsThe authors declare no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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