关节切除术后的分类系统用于腿部急性分区综合征
Yasser Bouklouch1, Mitchell Bernstein1, Michael Bosse2
1McGill University Health Center, Montreal, QC, Canada.
Journal of orthopaedic trauma
|July 26, 2023
概括
开发和验证了急性隔间综合征 (ACS) 的新分类系统. 该系统改善了沟通,并有助于评估患者的治疗结果和带切除术后与ACS相关的经济成本.
科学领域:
- 整形外科 整形外科 整形外科
- 创伤外科 手术 创伤外科
- 紧急医疗 紧急医疗
背景情况:
- 急性隔间综合征 (ACS) 是一种急性手术紧急情况,需要立即进行带切除术.
- 目前缺乏经过验证的分类系统,阻碍了ACS的清晰沟通和结果评估.
- 肌肉损伤和需要进一步的手术是常见的,尽管及时干预.
研究的目的:
- 建立和验证一种新型的分类系统,用于切术后急性隔间综合征 (ACS) 的后果.
- 创建一个标准化的方法来分级ACS严重程度和相关的临床发现.
- 促进与ACS管理相关的更好的沟通和经济分析.
主要方法:
- 在ACS专家的国际小组中,采用了经过修改的Delphi方法.
- 该分类系统是通过对临床病例的多次评级会议开发和验证的.
- 评估者之间的可靠性和可重现性使用Fleiss Kappa和Kendall系数进行了评估.
主要成果:
- 开发的ACS分类系统显示了强烈的评级者之间的一致性 (Fleiss Kappa = 0.711).
- 二次验证显示了评级者之间的高相关性 (Kendall系数的中位数=0.855).
- 该系统在整个评级会议中表现出强大的内部一致性和可重复性.
结论:
- 经过验证的ACS分类系统为评估ACS后果提供了一种标准化的方法.
- 这个系统可以提高对患者结果和腿部ACS的经济影响的理解.
- 它为临床沟通和急性隔间综合征的研究提供了宝贵的工具.
相关概念视频
01:27Assessment of the Cardiovascular System III: Palpation
382
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
382
01:48Classification of Skeletal Muscle Fibers
56.6K
Skeletal muscles continuously produce ATP to provide the energy that enables muscle contractions. Skeletal muscle fibers can be categorized into three types based on differences in their contraction speed and how they produce ATP, as well as physical differences related to these factors. Most human muscles contain all three muscle fiber types, albeit in varying proportions.
Slow-Twitch Muscle Fibers
Slow oxidative, muscle fibers appear red due to large numbers of capillaries and high levels of...
Slow-Twitch Muscle Fibers
Slow oxidative, muscle fibers appear red due to large numbers of capillaries and high levels of...
56.6K
01:26Varicose Veins II: Diagnostic Studies and Interprofessional Care
15
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
15