患者经历重大长期社会和健康挑战后,主要的下肢截肢
Elina Farber1, Max Zhu1, Thomas McNamara1
1Division of Vascular and Endovascular Surgery, Boston Medical Center, Boston University, Chobanian and Avedisian School of Medicine, Boston, MA.
Annals of vascular surgery
|July 28, 2024
概括
主要的下肢截肢导致了重大的长期医疗和社会挑战,包括减少行走和增加再入院. 解决健康的社会决定因素对于改善这种患者群体的结果至关重要.
科学领域:
- 医学成果研究研究成果
- 公共卫生 公共卫生
- 康复医学 康复医学 康复医学
背景情况:
- 主要的下肢截肢是一个改变生活的事件,具有持久的影响.
- 了解健康的长期结果和社会决定因素 (SDH) 对患者护理至关重要.
研究的目的:
- 评估经过重大下肢截肢的患者的长期医疗结果.
- 为了确定健康的社会决定因素 (SDH),该人群在手术后面临的挑战.
主要方法:
- 在安全网三级护理中心对主要下肢截肢 (2018-2022) 的回顾性审查.
- 分析患者的人口统计,并发性疾病以及外科手术后/长期结果.
- 包括在术后6个月至1.5年完成SDH调查的患者.
主要成果:
- 包括100名患者;平均年龄61.5岁,57%是黑人,78%患有糖尿病.
- 一年重收率高 (43%);只有25%的患者在长期独立的门诊治疗中.
- 32%的人报告至少有一次SDH挑战,独立地与1年的再入院有关 (OR 6.7).
结论:
- 截肢后的患者面临着重大的医疗和社会挑战,包括流动性减少和住房不安全.
- 很大一部分患者经历了健康挑战的社会决定因素,影响了再入院率.
- 加强长期支持,包括医疗,社会和康复服务,对于这个弱势群体至关重要.
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