确定患者可接受的症状状态值,以确定患者报告的在手术治疗骨平原骨折后的结果
Eleanor H Sato1, Emily A Treu, Devin L Froerer
1Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT.
Journal of orthopaedic trauma
|December 20, 2023
概括
这项研究确定了骨平原骨折患者可接受的症状状态 (PASS) 值. 这些门有助于识别对结果满意的患者,并为那些有不良结果风险的患者提供咨询.
科学领域:
- 整形外科手术 整形外科手术
- 创伤护理的护理人员.
- 患者报告的结果
背景情况:
- 骨平原骨折显著影响患者的功能和生活质量.
- 确定患者可接受的症状状态 (PASS) 值对于评估治疗成功至关重要.
- 现有的文献缺乏经过手术治疗的骨平原骨折的PASS值.
研究的目的:
- 确定患者可接受的症状状态 (PASS) 门,用于患者报告结果测量信息系统 (PROMIS) 物理功能 (PF) 和膝盖损伤和骨关节炎结局得分 (KOOS) 经过手术治疗的骨平原骨折后.
- 确定影响这些PASS值的因素.
主要方法:
- 对159名经过手术治疗的骨高原骨折的患者进行了回顾性队列研究.
- 包括PROMIS-PF和KOOS在内的患者报告结果措施 (PROMs) 在至少1年的随访中进行了评估.
- 基于的问题被用来确定 PASS 值,用于全球结果,疼痛和功能,使用80%的特异性,第75个百分位和尤登指数方法.
主要成果:
- 60%的患者对整体结果表示满意,53%的患者对功能表示满意.
- 定义了PROMIS-PF和KOOS在全球,疼痛和功能领域的PASS值.
- 年轻的患者,双骨折和感染与较低的PASS疼痛值相关;沙茨克II骨折和侧柱干涉与较高的PASS-全球和PASS-功能值相关.
结论:
- 这项研究提供了第一个定义的PASS值,用于骨平原骨折,有助于评估结果.
- 确定的患者群体 (例如,感染患者) 面临更高的不满意结果风险.
- 这些门作为临床医生管理患者期望和指导治疗的宝贵参考.
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