错过的访问预测了白种类型的脚病的复发
Armando S Martinez1, Grey Loyd1, Callie Bridges1
1Department of Student Affairs, Baylor College of Medicine, Houston, TX.
Journal of pediatric orthopedics
|April 8, 2024
概括
错过的临床检查显著增加了脚复发的风险. 诸如非白人种族和医疗补助保险等因素也与先天性塔利普斯 equinovarus (脚) 患者的复发率较高相关.
科学领域:
- 儿科整形外科 儿科整形外科
- 遗传性缺陷 遗传性缺陷是一种先天性缺陷
- 公共卫生 公共卫生
背景情况:
- 先天性形 equinovarus (足) 是一个常见的出生缺陷,具有显著的复发率.
- 治疗的坚持和社会经济因素影响着脚的复发.
- 了解这些因素对于改善患者治疗结果至关重要.
研究的目的:
- 调查人口统计/社会经济因素,随访坚持和脚复发之间的关系.
- 为了确定儿童脚患者中复发的关键预测因素.
- 为减少脚复发的策略提供信息.
主要方法:
- 异形足患者的回顾性图表审查 (2012年2月至2022年12月).
- 对后续遵守,复发和人口/社会经济数据的分析.
- 统计分析,包括多变量逻辑回归 (MVLR),以评估关联.
主要成果:
- 64.2%的患者经历了复发.
- 复发与支不合规,错过的临床检查,医疗补助保险,非白人种族和较高的社会贫困指数 (SDI) 成绩有显著的关联.
- 错过的临床访问独立地与复发率的增加有关 (OR 4.462).
结论:
- 较高的SDI,非白人种族,医疗补助保险和错过的临床后续检查访问与增加脚复发有关.
- 错过的临床检查是复发的强有力的独立预测因素.
- 针对高风险群体的有针对性的干预措施可以减少脚复发.
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