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在全关节关节整形术中,成功的同一日历日释放的社会风险决定因素
Rex W Lutz1, Danielle Y Ponzio2, Hope S Thalody2
1Jefferson Health New Jersey, Stratford, NJ, USA.
概括
社会决定因素显著影响同一日历日释放 (SCDD) 在全关节整形术 (TJA) 的成功. 诸如职业,婚姻状况,收入和药物使用等因素影响患者准备出院的情况.
科学领域:
- 整形外科手术 整形外科手术
- 医疗服务研究 医疗服务研究
背景情况:
- 有限的研究存在于影响同一日历日释放 (SCDD) 的社会决定因素在整体关节整形术 (TJA).
- 随病症得到了充分的研究,但在TJA排放规划中,社会因素仍未得到充分探索.
研究的目的:
- 在初级全关节整形手术 (THA) 和全膝关节整形手术 (TKA) 后,调查社会决定因素和成功的SCDD之间的关联.
- 确定影响关节置换患者当天出院结果的关键社会因素.
主要方法:
- 从2020年11月到2022年8月对1160名THA和1813名TKA患者的回顾性评估.
- 分析社会因素:物质使用,职业,婚姻状况,收入,运动,生活状况和交通.
- 在成功的SCDD和延迟出院组之间的患者特征的比较.
主要成果:
- 只有32%的患者取得了成功的SCDD;68%的患者在术后第一天或更晚时出院.
- 成功的SCDD与医疗保健/活跃职业,婚姻,交通工具,高收入地区和每周炼有关.
- 意想不到的是,成功的SCDD也与更多的家庭故事,更多的入口楼梯,离医院更远的距离,以及更高的酒精和烟草使用率相关.
结论:
- 社会决定因素在同一日历日释放成功的关节整形术患者中发挥着至关重要的作用.
- 这些发现可以为外科医生在选择患者和进行关节置换手术的手术前咨询提供信息.
- 了解这些社会因素可以优化出院计划并改善患者的治疗结果.
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