与中期PROMIS上肢分数相关的因素 在保守和手术治疗的远半径骨折中
Walter D Sobba1, Peter Ren2, Daniel De Souza1
1New York University Grossman School of Medicine, New York City, USA.
概括
远半径骨折 (DRF) 后的放射结果不能预测患者报告的功能. 在大多数患者中,骨折严重程度和特定的放射测量与功能恢复没有很强的关联.
科学领域:
- 整形外科手术 整形外科手术
- 创伤护理的护理人员.
- 患者报告的研究结果研究结果.
背景情况:
- 临床指南通常优先考虑远半径骨折 (DRF) 的放射结果.
- 有证据表明,放射测量并不总是与患者报告的结果 (PRO) 相相关,特别是在老年人中.
- 骨折严重程度,放射性参数和DRF后的功能恢复之间的关系需要进一步调查.
研究的目的:
- 为了确定骨折严重程度和愈后的放射性参数是否预测DRF患者的PROs.
- 为了测试假设,没有强烈的关联存在于X光学发现和PROs.之间的假设.
主要方法:
- 对前性收集的患者报告结果测量信息系统上肢功能 (PROMIS UE) 评分的回顾性审查.
- 对385名DRF患者的分析和至少6个月的随访.
- 多变量线性回归用于评估人口统计,并发症,AO/OTA分类,放射性参数和PROMIS UE分数之间的关联.
主要成果:
- 在6个月后,没有发现PROMIS UE分数与AO/OTA分类,肘部变异,飞行倾斜或半径倾斜之间的关联.
- 对年轻患者 (≤62岁) 的亚分析表明,PROMIS UE得分略有下降,辐射倾斜度增加.
- 193名患者接受了保守治疗,192人接受了手术治疗.
结论:
- 患者报告的功能与DRF后的X光学结果之间没有强有力的关系.
- 最初的骨折严重程度不能预测中期患者报告的功能.
- 在已确定的放射性参数范围内实现减小似乎足以使患者的功能.
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