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烧伤受伤的人与异型骨化之间的身体和心理社会结果:烧伤模型系统研究研究
Paul Won1, Trevor A Pickering2, Jeffrey C Schneider3
1Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Burns : journal of the International Society for Burn Injuries
|January 24, 2024
概括
烧伤后的异型骨化 (HO) 显著影响身体功能,但不影响心理社会结果. 康复应该专注于改善HO患者的身体功能.
科学领域:
- 整形外科 整形外科 整形外科
- 烧伤手术 烧伤手术
- 康复医学 康复医学 康复医学
背景情况:
- 异位骨化 (HO),或异位骨形成,是烧伤伤害后的一个鲜为人知的并发症.
- 霍氏体会导致运动能力下降,合和疼痛,特别是在手部.
研究的目的:
- 为了确定在烧伤后发展HO的个体的人口特征.
- 为了比较HO烧伤患者与没有HO烧伤患者的身体和心理社会结果.
主要方法:
- 来自燃烧模型系统国家纵向数据库 (2015-2022) 数据的分析.
- 使用混合效应线性回归来比较PROMIS-29在出院时的得分,以及受伤后的6个月和12个月.
- 模型根据年龄,性别,种族/民族,HO状态和烧伤大小进行调整.
主要成果:
- 在3.8%的参与者中 (33名861名) 诊断出HO.
- 患有HO的参与者烧伤大小更大 (49%的TBSA与16%的TBSA相比),而且主要是男性 (73%).
- HO患者报告身体功能明显恶化,抑郁,疼痛干扰和社会融合,即使在调整后,身体功能仍然显著下降.
结论:
- 虽然HO导致身体限制,但并没有始终观察到显著的心理社会障碍.
- 对HO烧伤患者的康复工作应优先考虑旨在最大限度地提高身体功能的干预措施.
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