患者的主要口语和骨骨折后术后结果之间的关联
Avanish Yendluri1, Mateo Restrepo Mejia, Brocha Z Stern
1From the Leni and Peter W. May Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai (Mr. Yendluri, Mr. Restrepo Mejia, Dr. Stern, Mr. Laurore, Busigo Torres, Dr. Yacovelli, Stocchi, Dr. Podolnick, Dr. Forsh); the Department of Population Health Science and Policy, Institute for Health Care Delivery Science, Icahn School of Medicine at Mount Sinai, New York, NY (Dr. Stern); and the Department of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery (Dr. Poeran), New York, NY.
主要口语 (PSL) 影响关节骨折手术的结果. 非英语PSL与开放式缩减和内部固定治疗的更长的住院时间有关,但关节整形术的住院时间较短.
科学领域:
- 整形外科手术 整形外科手术
- 医疗保健服务研究 医疗服务研究
- 医学中的语言学.
背景情况:
- 患者的主要口语 (PSL) 是一个影响术后结果的新兴因素.
- 关节骨折管理涉及重要的外科手术期间考虑.
研究的目的:
- 调查患者的主要口语 (PSL) 和关节骨折术后结果之间的关联.
- 分析PSL对住院时间 (LOS),死亡率,出院安排和再接收的影响.
主要方法:
- 关节骨折患者的回顾性队列研究,这些患者接受了开放式缩减和内部固定 (ORIF) 或关节整形.
- 基于关键的人口和临床因素,非英语PSL患者与英语PSL患者的1:3匹配.
- 用于评估PSL与结果之间的关联的通用线性模型,调整并发症.
主要成果:
- 在ORIF队列中,非英语PSL与较长的LOS (0.95天) 和较少的非家庭出院相关.
- 在关节整形队列中,非英语PSL与较短的LOS (1.04天) 相关.
- 在PSL和住院死亡率,30天急诊,90天再入院或90天并发症之间没有发现显著的关联.
结论:
- 基于语言的差异存在于关节骨折手术的术后结果.
- 需要进一步的研究来阐明这些语言相关差异的机制和临床意义.
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