推模式与延迟治疗创伤性手臂损伤相关
Brian W Yang1, Rafa Rahman1, Casey Urban1
1Hand and Upper Extremity Service, Hospital for Special Surgery, New York, NY.
The Journal of hand surgery
|June 30, 2023
概括
延迟治疗创伤性臂膜损伤 (BPI) 恶化了结果. 在转诊到专门中心之前订购诊断EMG测试会增加患者对BPI治疗的延迟.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 创伤外科 手术 创伤外科
背景情况:
- 创伤性手臂损伤 (BPI) 是严重的和时间敏感的.
- 在专业中心迅速治疗对于最佳结果至关重要.
- 呈现和手术的延迟与较差的结果有关.
研究的目的:
- 调查导致创伤性BPI患者出现延迟和手术的转诊模式.
- 确定与这些伤害延迟护理相关的因素.
主要方法:
- 99名创伤性BPI患者 (2000-2020年) 的回顾性审查.
- 对人口统计数据,推前工作和推提供商特征的分析.
- 多变量逻辑回归用于确定与延迟呈现 (> 3 个月) 或晚期手术 (> 6 个月) 相关的因素.
主要成果:
- 62.6%的患者出现了延迟表现,而36.6%的患者进行了晚期手术.
- 推提供者的专业性并没有显著影响延迟率.
- 患者的初始诊断EMG是由转诊提供者下令的患者显示出更高的延迟呈现率 (76.2%) 和晚期手术 (44.9%).
结论:
- 由转诊提供者订购的初始诊断EMG与创伤性BPI病例的延迟呈现和手术有关.
- 建议在没有事先工作的情况下直接转诊到手臂中心,以改善患者的治疗结果.
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