定义患者可接受的症状状态的临界值和预测指标,以检查关节透视术后患者报告的结果
David R Maldonado1,2, Tracy George1, Saiswarnesh Padmanabhan1
1American Hip Institute Research Foundation, Chicago, Illinois, USA.
The American journal of sports medicine
|November 17, 2023
概括
本研究定义了患者可接受的症状状态 (PASS) 门,用于修订关节关节镜检查结果. 在修复部手术后实现PASS与较低的BMI有关,改善了患者的预期.
科学领域:
- 整形外科手术 整形外科手术
- 患者报告的结果衡量结果.
- 关节透视术 关节透视术
背景情况:
- 患者可接受的症状状态 (PASS) 是用于初级关节关节镜检查的,但不是用于修复手术.
- 定义修复关节透视术的PASS对于管理患者期望和评估手术成功至关重要.
研究的目的:
- 在修复关节镜术后,为关键结局得分建立最低2年后续PASS值.
- 在接受修复关节镜术的患者中,确定与实现PASS相关的预测因素.
主要方法:
- 一项涉及318名接受修复关节透视术的患者的病例控制研究,采用前性收集的数据.
- 使用基方法和接收机运行特征曲线分析来确定mHHS,NAHS,HOS-SSS,VAS和iHOT-12的PASS值.
- 多变量逻辑回归确定了实现PASS的预测因素,重点是身体质量指数 (BMI).
主要成果:
- 已确定的PASS值:mHHS 76,NAHS 86.3,HOS-SSS 64.3,VAS 3,iHOT-12 64.3 在2年的随访中.
- 在所有测试结果得分中观察到高差异性 (AUC > 0.85).
- 较低的BMI (≤25.4) 是在NAHS上实现PASS的重要预测指标,其概率高1.03倍.
结论:
- 该研究提供了经过修复关节透视术后多项结果测量的特定PASS值.
- 这些门可以帮助确定现实的患者期望,并评估修复关节手术的结果.
- 身体质量指数是一个可修改的因素,影响患者报告的结果和在修复关节透视术后达到可接受的症状状态.
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