远端半径骨折后持续疼痛的预后因素:一个系统的审查
Catherine Rolls1, Danielle A Van der Windt2, Candy McCabe3
1Therapy Department, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.
Hand therapy
|October 31, 2023
概括
鉴定远端半径骨折 (DRF) 后持续疼痛的预后因素是具有挑战性的. 对于诸如高基线疼痛或骨骨折等因素的证据较低,对于其他因素的证据非常低.
科学领域:
- 整形外科 整形外科 整形外科
- 疼痛管理 疼痛管理
- 系统审查是系统的审查.
背景情况:
- 距离半径骨折 (DRF) 是一个常见的损伤.
- 持续性疼痛和复杂区域性疼痛综合征 (CRPS) 可能在DRF后发展.
- 确定预后因素对于患者的治疗结果至关重要.
研究的目的:
- 系统地审查DRF后持续疼痛的预后因素.
- 综合有关疼痛预测因子的证据,包括CRPS,DRF后.
主要方法:
- 在多个数据库 (Medline,Embase等) 中进行系统搜索. 从开始到2021年5月.
- 包括DRF的成年人前性纵向预后因素研究.
- 使用QUIPS评估研究质量,使用GRADE评估证据强度.
主要成果:
- 七项研究符合资格标准.
- 很少有证据表明,高基线疼痛和骨骨折预测持续的疼痛.
- 很少有证据将糖尿病,老年,反应缓慢,胀,灾难化和抑郁与持续疼痛或CRPS联系起来. 性不是一个预测因素.
结论:
- 预后因素和DRF后持续疼痛之间的关联仍然不清楚.
- 由于有限的研究和方法问题,证据的强度低至非常低.
- 建议对预测多维疼痛结果的心理社会因素进行进一步的前性研究.
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