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鉴定选择性膝关节关节整形术后患者报告结果 (PROM) 的不同趋势的患者子组

Davide Golinelli¹, Alberto Grassi², Francesco Sanmarchi³

¹Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum - University of Bologna, Via San Giacomo 12, Bologna, 40126, Italy.

BMC musculoskeletal disorders

|June 3, 2023

概括

大多数全膝关节整形术 (TKA) 患者在六个月内改善了生活质量和功能. 然而,不同的患者亚组表现出不同的康复轨迹,突出显示需要个性化护理策略后TKA.

科学领域:

整形外科手术整形外科手术
康复医学康复医学康复医学
健康结果研究研究结果

背景情况:

患者报告的结果测量 (PROM) 对于评估全膝关节整形术 (TKA) 的有效性至关重要.
在TKA受到限制后,了解长期PROM得分的变化.
这项研究调查了TKA后的生活质量和关节功能轨迹.

研究的目的:

在选修TKA后,确定生活质量和关节功能的独特轨迹.
探索与这些PROM轨迹相关的人口和临床因素.

主要方法:

未来的队列研究设计.
使用的欧元质量5维3L (EQ-5D-3L) 和膝关节损伤和骨关节炎结果得分患者满意度 (KOOS-PS) PROMs.
应用了隐性类增长混合模型和多项逻辑回归.

主要成果:

确定了三种不同的PROM轨迹,用于生活质量和关节功能.
女性患者报告了较差的基线功能,但改善速度更快.
较高的ASA分数 (大于3) 与较差的功能恢复相关.

结论:

对于TKA患者,有三个主要的PROM轨迹.
大多数患者在6个月后经历功能改善,随后稳定.
亚组分析显示了不同的恢复模式,需要进一步的临床研究.

关键词:

关节质整术是指关节质整术.植入物登记册植入物登记册植入物登记册膝盖膝盖膝盖膝盖在这些是PROMs.患者报告的结果衡量结果.质量改善质量改善

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