作为影响全关节整形术后结果的精神病学因素的弹性:系统性审查
Andrew G Kim1, Parshva Sanghvi1, Adam A Rizk1
1Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, OH, 44195, USA.
Arthroplasty (London, England)
|April 4, 2024
概括
患者的恢复力显示,对于全关节关节整形术 (TJA) 的结果,结果各不相同. 虽然它预测了更好的PROMIS分数并减少了立即的住院阿片类药物使用,但它对功能和长期疼痛的影响尚不清楚,因此需要进一步研究.
科学领域:
- 整形外科 整形外科 整形外科
- 精神病学是一个精神病学.
- 健康 结果 研究 研究 结果
背景情况:
- 在全面关节整形手术 (TJA) 之前,心理健康经常被忽视.
- 关于患者弹性如何影响TJA结果的研究有限.
- 本系统性审查调查了TJA中的弹性作用.
研究的目的:
- 系统地评估患者恢复能力对全关节整形术 (TJA) 后结果的影响.
- 综合当前关于性作为患者报告结果,手术结果和TJA后阿片类药物消费的预测指标的证据.
主要方法:
- 按照PRISMA指南进行了一次系统的文献审查.
- 搜索的数据库包括Pubmed,MEDLINE,EBSCOhost和谷歌学者.
- 包括关于初级全关节整形手术 (THA) 或全膝关节整形手术 (TKA) 结果的研究,按患者的弹性分层.
主要成果:
- 分析了12项涉及1577名TJA的研究.
- 恢复力强烈预测患者报告结果测量信息系统 (PROMIS) 的身体和心理健康得分.
- 关于弹性对UCLA活动量表,WOMAC,功能和停留时间的影响,证据不确定.
结论:
- 耐药性对TJA后的术后结果产生了混合和不确定的影响.
- 需要进一步的研究来探索弹性的短期和长期影响.
- 弹性可能具有作为TJA患者手术前查工具的潜力.
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