脊椎形从儿科到成年人群的过渡护理:一项描述性研究
Mélanie Ta1, Marc Khalifé2,3, Christophe Glorion3
1Department of Orthopedic Surgery, Georges Pompidou European Hospital, Université Paris Cité, 20 Rue Leblanc, 75015, Paris, France. melanie.ta@orange.fr.
Spine deformity
|February 16, 2025
概括
为儿科脊柱形患者组织过渡性护理改善了长期随访遵守. 未经手术的形的早期管理是通过更好的坚持来促进的.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形外科 儿科整形外科
- 脊柱形管理 脊柱形管理
背景情况:
- 脊柱形存在于童年和成年期,在过渡到成人护理期间,患者随访的关键差距.
- 需要有效的管理策略来确保这些患者的护理连续性.
研究的目的:
- 描述儿童脊柱形患者转移到成人护理的管理.
- 评估有组织的过渡期护理对患者长期随访的坚持的影响.
主要方法:
- 儿科和成人骨科部门之间建立了一个协作咨询模式,用于过渡后续.
- 在2019-2021年期间管理的脊柱形患者被分为儿科 (Ped) 和儿科到成人 (Ped_Ad) 组.
- 收集的数据包括变形类型,咨询年龄,随访时间和随访失踪患者 (LTFU) 的比例.
主要成果:
- 在383名患者中,11%的患者转移到成人护理 (Ped_Ad),而89%的患者仍然在儿科 (Ped).
- 在Ped_Ad小组中,在第一次和最后一次咨询时的年龄大得多.
- 在Ped_Ad组 (61%) 的手术率高于Ped组 (18%) 的手术率.
- 在Ped组 (25%) 的失踪率高于Ped_Ad组 (12%),尽管在统计学上并不显著 (p=0.07).
- 14-16岁的青少年,特别是Ped组的未经手术的患者,最常失去随访.
结论:
- 在儿科和成人骨科服务之间有组织的过渡性护理可以提高患者对长期随访的坚持.
- 改善的附着性允许在未经手术的脊柱形进展的情况下进行早期干预.
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