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在全关节关节整形术中 Sarcopenia:术后不良结果和更高的护理成本的风险因素
Kailey J Zaronias1, Keith E Arnold1, Christian J Hecht1
1Case Western Reserve University School of Medicine, Cleveland, OH, 44106, USA.
Journal of orthopaedics
|June 23, 2025
概括
肉症是一种肌肉消耗的疾病,增加了并发症,并在全关节形术 (TJA) 后恶化了患者报告的结果. 术前优化可能有利于接受TJA的麻患者.
科学领域:
- 整形外科手术 整形外科手术
- 老年医学 老年医学
- 康复科学 康复科学 康复科学
背景情况:
- 皮症是一种潜在的可修改风险因素,影响了全关节整形术 (TJA) 后的结果.
- 现有的文献显示了关于缩症对TJA结果的影响的各种发现.
- 本综述阐明了被诊断的肉病与TJA后的功能结果,患者报告的结果和并发症之间的关联.
研究的目的:
- 系统地审查和综合临床诊断的萨科佩尼亚对关节整形术 (THA) 和膝关节整形术 (TKA) 后的结果的影响的证据.
- 评估手术前的sarcopenia与功能结果,患者报告的结果测量 (PROMs) 和TJA后的并发症之间的关联.
主要方法:
- 按照PRISMA指南进行的系统审查.
- 搜索了PubMed,谷歌学者,和EBSCOhost对萨尔科佩尼亚/萨尔科佩尼亚肥胖症和THA/TKA结果的研究.
- 排除了案例报告,非英语研究,系统审查和重复;使用MINORS工具评估偏见风险.
主要成果:
- 在THA/TKA.之后,手术前的肉类并没有显著影响关键的功能结果 (例如,步行速度,运动范围).
- 麻患者在TJA后报告了更糟糕的PROMs,特别是短期的PROMs,并且经历了更频繁的并发症 (例如肺炎,DVT,脆弱性骨折).
- 接受THA或TKA的皮患者的手术费用更高,包括手术前一天和90天护理费用的增加.
结论:
- 临床诊断的sarcopenia与TJA后增加的并发症和较差的患者报告结果有关.
- 功能性结果可能不会受到实质性的影响,但患者报告的措施和并发症率在肉患者中较高.
- 对于被诊断患有肉症的TJA患者,应考虑术前优化和康复策略.
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