假肢关节感染对工作状态和生活质量的影响:一个多中心的国际研究
Ittai Shichman1, Walter Sobba2, Geidily Beaton2
1Adult Reconstructive Division, NYU Langone, New York, New York; Division of Orthopedic Surgery, Tel-Aviv Sourasky Medical Center, Sackler School of Medicine, Tel-Aviv, Israel.
The Journal of arthroplasty
|June 23, 2023
概括
周围假肢关节感染 (PJI) 显著影响生活质量,导致身体和精神健康下降,影响日常活动. 对PJI风险的患者教育对于减轻关节置换手术后的潜在遗憾至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 传染性疾病 传染性疾病
- 患者报告的结果
背景情况:
- 整体关节整形术 (TJA) 后的周围假肢关节感染 (PJI) 可以严重损害患者的身体功能,心理健康和日常活动.
- PJI对患者的生活质量,工作状况和残疾的长期影响需要彻底调查.
研究的目的:
- 通过患者报告的结果措施,评估PJI对患者生活质量的影响.
- 为了比较急性和慢性PJI病例之间的结果.
- 评估PJI对患者进行日常活动,工作的能力的影响,以及他们对TJA最初决定的整体满意度.
主要方法:
- 在2012年至2021年期间,对PJI进行了修订TJA的318名患者进行了回顾性审查.
- 纳入标准:肌肉骨感染学会对PJI,修复手术和至少1年的随访的标准.
- 患者调查评估了PJI对工作,残疾,心理健康,身体健康和生活质量的影响.
主要成果:
- 很大一部分患者报告说,在日常活动中遇到困难,包括走楼梯 (20.5%),PJI后身体 (39.6%) 和心理健康 (25.2%) 情况恶化.
- 总体生活质量 (38.5%) 和社会满意度 (35.3%) 受到PJI的负面影响.
- 慢性PJI病例显示患者报告的结果更差,23%的患者后悔他们最初的TJA决定.
结论:
- PJI显著降低了患者的功能能力,日常生活活动和返回工作的潜力.
- 患有PJI的患者经常面临残疾挑战,可能会对最初的关节置换手术感到遗憾.
- 关于PJI风险的增强患者咨询对于管理期望和潜在地减少未来的不满是必不可少的.
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