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旋转手套修复和自杀之间可能的关联:使用倾向性得分匹配的全国性队列研究
Hyojune Kim1, Ha Jun Jang2, Kyoung Hwan Koh3
1Department of Orthopedic Surgery, Chung-Ang University Hospital, Seoul, Korea.
Clinics in orthopedic surgery
|October 20, 2025
概括
经过旋转手套修复手术 (RCR) 的患者面临自杀风险增加,特别是在第一年术后. 这凸显了在RCR之后需要加强心理支持和监测的需要.
科学领域:
- 整形外科手术 整形外科手术
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 旋转袖口修复 (RCR) 手术可能会导致患者因疼痛,康复挑战,功能限制和重伤风险而遭受重大心理困扰.
- 在RCR后的患者中,自杀的发生率和风险尚不清楚.
研究的目的:
- 在接受RCR的患者中,随着时间的推移,调查与自杀相关的死亡发生率.
- 分析RCR与自杀风险之间的关联,使用一个大型,全国性的队列数据库.
主要方法:
- 分析了3,992名RCR患者和3,992名匹配的对照从国家健康保险服务 (NHIS) 样本队列 (2007-2018) 的全国队列.
- 采用了时间依赖性倾向分数匹配,并使用卡普兰-梅尔曲线和日志等级测试评估了自杀累积发生率.
- 自杀发病率和危险比率是使用通用线性模型和Cox比例危险模型计算的.
主要成果:
- 在RCR患者中,自杀的发病率在手术后一年以上为每10万人年62.61.
- 与对照组相比,RCR患者在整个随访期间死于自杀的可能性是3.19倍,在一年后死亡的可能性是5.86倍.
结论:
- 在RCR后的第一年内没有发现增加的自杀关联,但随后出现了显著的趋势.
- 疼痛,康复困难和复发风险等RCR后的挑战可能会影响心理健康.
- 密切监测和及时的精神干预对于RCR患者至关重要.
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