在ACL重建后,ADHD与术后并发症和修复手术的增加率有关
Jared Sasaki1, Samuel I Fuller2, Joseph Kocan2
1School of Medicine, New York Medical College, Valhalla, New York.
Sports health
|October 30, 2025
概括
患有注意力缺陷/多动障碍 (ADHD) 的患者在前十字带 (ACL) 重建后面临更高的早期并发症风险,包括修复手术和伤口问题. 三年后的长期结果显示,两组之间没有显著差异.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 心理健康在医学中的作用
背景情况:
- 前十字带 (ACL) 撕裂是常见的膝盖损伤,通常需要手术重建.
- 人们越来越认识到心理健康因素会影响ACL重建的结果.
- 注意缺陷/多动障碍 (ADHD) 对ACL重建的影响以前没有被研究过.
研究的目的:
- 为了研究ADHD对ACL重建后的短期 (3个月,6个月) 和长期 (3年) 并发症的影响.
- 为了比较ACL手术后患有和没有ADHD的患者之间的并发症率.
- 为了确定ADHD是否是ACL重建患者不良结果的危险因素.
主要方法:
- 使用 TriNetX 全球研究数据库进行的回顾性病例控制研究.
- 对接受ACL重建的患者的分析,分为ADHD和非ADHD队列.
- 使用倾向分数匹配来控制混变量.
- 评估的结果包括关节纤维化,感染,伤口并发症,修复手术,急诊室访问和各种术后间隔的再入院.
主要成果:
- 在ACL重建后的3到6个月内,ADHD患者的修复手术,伤口并发症和再入院率显著增加.
- 患有多动症的患者更有可能在6个月内需要急诊室访问.
- 在3年随访期间,ADHD和非ADHD队列之间没有观察到严重的并发症差异.
结论:
- 患有ADHD的患者在ACL重建后面临早期术后并发症的风险较高.
- 研究结果强调,需要为接受ACL手术的ADHD患者提供量身定制的术后护理和康复方案.
- 医疗保健专业人员可以利用这些见解来减轻ADHD患者的风险和改善结果.
相关概念视频
01:23Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
01:26Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
01:30Attention-Deficit/Hyperactivity Disorder
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.