复杂的骨科伤害后恢复工作的证据 - 范围审查
Andreas Conte1, Ellisiv Clarke2, Aswinkumar Vasireddy2
1Faculty of Life Sciences & Medicine, King's College London, London, UK.
Work (Reading, Mass.)
|April 21, 2025
概括
复杂的骨科损伤后恢复工作率很低. 这份综述强调了对预后因素的有限知识,并建议在未来对恢复工作的研究中采用生物心理社会方法.
科学领域:
- 整形外科手术 整形外科手术
- 职业健康 职业健康 职业健康
- 康复医学 康复医学 康复医学
背景情况:
- 在复杂的骨科伤害后,恢复工作率 (RTW) 特别低.
- 目前缺乏对RTW在这个患者群体中的当前知识和预后因素的全面总结.
研究的目的:
- 进行现有研究的范围审查.
- 确定和介绍有关复杂的骨科损伤后RTW预后因素的证据的性质和范围.
主要方法:
- PRISMA-ScR检查清单指导了审查设计.
- 在网上搜索数据库,从1969年到2023年,搜索关于重返工作,复杂的骨科损伤和预后因素的文章.
- 复杂的骨科损伤包括多重骨折,开放骨折,高能量骨盆损伤或多创伤与骨科参与.
主要成果:
- 十一项研究符合纳入标准,主要是具有小样本规模的前性队列设计.
- 研究了一系列狭窄的预后因素,其中年龄,受伤严重程度得分 (ISS) 和工作性质具有统计学意义.
- RTW终点差异很大 (3个月至8年),排除了元分析.
结论:
- 对于复杂的骨科损伤后RTW的预后因素的理解是有限的.
- 据估计,RTW的估计范围在16%至90%之间,这表明存在显著的变化.
- 未来的研究应该采用整体的,生物心理社会模型来调查RTW预后因素,并提供研究设计和变量方面的指导.
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