甲状腺功能低下症影响初级全关节整形术后的临床和医疗保健利用结果
Sumanth R Chandrupatla1, Kranti C Rumalla2, Jasvinder A Singh3
1Department of Medicine at the School of Medicine, University of Alabama at Birmingham (UAB), Birmingham, Alabama.
The Journal of arthroplasty
|November 16, 2023
概括
甲状腺功能低下症与关节整形术 (THA) 后的结果更差有关,包括更长的住院时间和更多的并发症. 需要进一步的研究来开发针对这些患者的有针对性的干预措施.
科学领域:
- 整形外科手术 整形外科手术
- 内分泌学 在内分泌学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 甲状腺功能低下症是一种常见的内分泌疾病.
- 它对初级关节整形术 (THA) 结果的影响需要全面评估.
- 了解这些关联可以指导术后护理.
研究的目的:
- 评估甲状腺功能低下症和初级THA后的结果之间的关联.
- 根据导致THA的基本诊断来分层这些结果.
主要方法:
- 一个国家数据库 (2016-2020年) 用于识别2,467,215名初级THA患者.
- 患者根据诊断分层:骨关节炎,骨 necrosis,创伤性骨折,炎症性关节炎和其他.
- 进行了多变量调整的回归分析,控制了许多人口和临床因素.
主要成果:
- 甲状腺功能低下症与停留时间的延长,总充电量,非例行性出院,输血和整体假肢骨折有关.
- 在诊断子组内观察到特定的关联,包括骨关节炎,骨髓缩和创伤性骨折队列.
结论:
- 甲状腺功能低下症与THA患者的不良结果和医疗保健利用率的增加显著相关.
- 开发和测试针对甲状腺功能低下症的有针对性的干预措施对于改善THA外科结果至关重要.
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