创伤后应激障碍作为膝关节关节整形手术不良结果的危险因素
William J Hlavinka1, Mohammed S Abdullah2, Tarun R Sontam1
1Texas A&M School of Medicine, Baylor University Medical Center, Department of Medical Education, Dallas, Texas.
The Journal of arthroplasty
|December 1, 2024
概括
患有创伤后应激障碍 (PTSD) 的患者在全膝关节整形术 (TKA) 后的并发症率较高. 这包括感染和骨折的增加,需要为更好的结果提供量身定制的患者教育.
科学领域:
- 整形外科手术 整形外科手术
- 精神病的并发症 精神病的并发症
- 患者的治疗结果.
背景情况:
- 对于患有先前存在的创伤后应激障碍 (PTSD) 的患者,关于全膝关节整形术 (TKA) 结果的文献有限.
- 这项研究调查了PTSD对TKA患者结果的影响.
研究的目的:
- 为了比较初级TKA患者的术后结果,有和没有PTSD史.
- 在TKA患者中确定与PTSD相关的特定并发症和修订率.
主要方法:
- 利用电子健康记录数据库识别TKA患者的PTSD.
- 采用1:1的倾向匹配来创建一个可比的非PTSD (NPTSD) 患者队列.
- 评估了手术后的参数,包括医疗保健访问,处方,并发症和5年的修订率.
主要成果:
- 创伤后应激障碍患者在手术后7天内访问急诊室的次数更高.
- 在PTSD队列中观察到周围假肢感染 (1个月和5年) 和骨折 (6个月和1年) 的增加率.
- 在所有评估时间点中,PTSD患者的修订率较高.
结论:
- 患有PTSD的患者在TKA后经历了显著更高的周围假肢感染和骨折率.
- 这些发现凸显了对患有PTSD的TKA患者进行专门的术后教育和管理策略的需要.
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