澳大利亚的全科医生对可修改的风险因素在减少关节和膝关节关节置换后感染并发症的看法
Christopher J Wall1, Richard N de Steiger2, Christopher J Vertullo3
1MBBS, BMedSc, FRACS, FAOrthA, Deputy Director, Department of Orthopaedics, Toowoomba Hospital, Darling Downs Health, Toowoomba, Qld; Associate Professor, School of Medicine, Rural Clinical School, University of Queensland, Toowoomba, Qld; Assistant Deputy Registry Clinical Director, Australian Orthopaedic Association National Joint Replacement Registry, Adelaide, SA.
在关节置换手术之前,澳大利亚的全科医生认识到吸烟,糖尿病和高BMI等风险. 然而,大多数人不认为这些因素应该阻止患者进入手术.
科学领域:
- 整形外科手术 整形外科手术
- 公共卫生 公共卫生
- 一般的做法一般的做法.
背景情况:
- 关节置换手术带有感染风险.
- 可修改的危险因素包括吸烟,糖尿病控制不良和高体重指数 (BMI).
- 了解全科医生 (GPs) 对这些因素的看法对于患者管理至关重要.
研究的目的:
- 调查澳大利亚全科医生对末期骨关节炎患者可修改风险因素的看法.
- 评估一般医生对延迟关节置换手术的看法,直到风险因素得到解决.
主要方法:
- 开发了一个结构化的在线调查,并分发给澳大利亚的全科医生.
- 131名全科医生参与了调查.
主要成果:
- 在转诊之前,大多数全科医生试图解决吸烟 (90%),糖尿病控制 (94%) 和BMI (89%).
- 大多数人支持推迟关节置换,直到风险因素被修改 (57%的吸烟,84%的糖尿病,74%的BMI).
- 然而,很大一部分人没有考虑这些绝对的禁忌 (76%的吸烟,46%的糖尿病,43%的BMI).
结论:
- 澳大利亚的全科医生意识到可改变的风险因素会影响关节置换的结果.
- 尽管有这种意识,但许多全科医生不愿意根据这些因素限制患者接受关节置换手术.
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