在创伤性脊柱骨折后重返工作:在军事医院的现状
Abdulrahman Yousef Alhabeeb1,2,3, Faisal Konbaz4, Sami Aleissa5
1College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh 11481, Saudi Arabia.
Military medicine
|February 12, 2024
概括
在创伤性脊柱骨折 (TSF) 手术后重返工作是具有挑战性的. 高度的手术失血,较长的手术时间和延长的住院时间显著降低了患者返回工作的可能性.
科学领域:
- 整形外科 整形外科 整形外科
- 创伤外科 手术 创伤外科
- 康复医学 康复医学 康复医学
背景情况:
- 创伤性脊柱骨折 (TSF) 对患者的社会和财务福祉造成了重大负担.
- 了解影响重返工作 (RTW) 的因素对于患者的康复和社会重新融入至关重要.
研究的目的:
- 为了研究TSF手术治疗后的RTW率.
- 为了确定延迟或失败的RTW的预测因素.
- 评估术后麻醉剂使用模式.
主要方法:
- 在第三级护理中心进行回顾性队列研究 (2016-2021年).
- 招募了经过手术治疗的TSF的患者.
- 收集的人口,操作,并发症和麻醉剂使用数据.
- 在RTW分析中使用多变量逻辑回归.
主要成果:
- 分析了173名患有TSF的患者,82.7%是男性,80.2%的患者因机动车辆事故而受伤.
- 只有38.15%的患者成功恢复工作.
- 增加的外科手术失血 (每100毫升的RTW机会减少25%) 和更长的手术时间 (每小时减少31%) 是无法返回工作的显著预测因素.
- 大多数患者 (93.1%) 在出院后一周内停止服用麻醉剂.
结论:
- 对手术治疗的TSF患者来说,恢复工作是一个关键的结果.
- 诸如年龄,长时间的手术时间,大量的血液损失和长时间住院等因素会对RTW产生负面影响.
- 医疗保健提供者在治疗TSF手术后的患者时应考虑这些因素.
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