社会经济地位和支架合规性之间的相关性在异形足形症中
Ennio Rizzo Esposito1, Rachel Phillips1, Emily V Leary1
1Orthopedic Surgery, University of Missouri, Columbia, USA.
Cureus
|April 8, 2025
概括
社会经济因素没有影响脚 (先天性脚 equinovarus) 支合规. 然而,错过预约和不遵守规定显著增加了形复发的风险.
科学领域:
- 儿科整形外科 儿科整形外科
- 临床研究 临床研究
- 公共卫生 公共卫生
背景情况:
- 先天性形 equinovarus (足) 是一个常见的出生形.
- 庞塞蒂技术,包括造,切和支架,是标准的治疗方法.
- 了解影响治疗坚持的因素对于最佳结果至关重要.
研究的目的:
- 调查社会经济因素与坚持脚支架之间的关联.
- 确定使用Ponseti方法治疗的婴儿中支架遵守和变形复发的预测因素.
主要方法:
- 在2018年至2021年期间,对43名患有特异性脚的婴儿进行了回顾性图表审查.
- 通过遵守预约,报告佩戴支架和没有违规说明来定义合规性.
- 复发被评估为至少一年的复发或需要进一步干预的随访.
主要成果:
- 在社会经济因素 (收入,教育,保险) 和支合规之间没有发现相关性.
- 错过的诊所预约显著增加了不遵守规则的几率 (OR=7.0,P=0.01).
- 支架不合规与形复发有很强的关联 (OR=74.8,P<0.001).
结论:
- 社会经济地位似乎没有影响足支架的坚持.
- 稳定地参加诊所预约对于成功治疗至关重要.
- 严格遵守支架是防止脚复发的关键.
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