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患者与主要接触者的关系是否与整体关节整形术后的术后结果有关?
Casey Cardillo1, Jonathan L Katzman1, Kyle W Lawrence1
1Department of Orthopedic Surgery, NYU Langone Health, New York, New York.
The Journal of arthroplasty
|November 25, 2024
概括
在全关节整形术 (TJA) 后,家庭主要接触患者的康复情况更好. 非家庭接触与更高的修订风险有关,这表明需要加强对这些患者的支持.
科学领域:
- 整形外科手术 整形外科手术
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 社会决定因素显著影响患者在全关节整形术 (TJA) 后的健康和康复.
- 电子健康记录记录了患者识别的初级联系人,为社会支持提供了潜在的指标.
- 患者与接触者关系对TJA结果的影响仍未得到充分探索.
研究的目的:
- 调查进行关节整形手术 (THA) 和膝关节整形手术 (TKA) 的患者的初级接触类型 (家庭与非家庭) 和术后结果之间的关联.
- 确定非家族初级接触是否预测TJA后所有原因修订的风险更高.
主要方法:
- 选择性THA和TKA病例的回顾性审查 (2011年6月至2022年12月).
- 患者分为家庭 (F) 或非家庭 (NF) 主接触组.
- 基线特征和术后结果的比较;二元逻辑回归用于识别所有原因修订的预测因素.
主要成果:
- 非家族 (NF) 初级接触独立地与THA (OR: 1.48) 和TKA (OR: 1.62) 两种全因复查的更高风险相关.
- 家庭 (F) 主要接触患者的住院时间较短,因THA和TKA病例更有可能出院.
- 对于修订风险 (THA P=0.025,TKA P=0.014),停留时间和出院目的地 (P < 0.001 两者) 观察到统计学意义.
结论:
- 家庭初级接触者与全关节关节整形术患者的优异术后结果有关.
- 患有非家族初级接触的患者可能需要增加术后支持和监测.
- 识别和支持非家族接触患者对于优化TJA恢复至关重要.
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