患者可接受的症状状态 牛津肘部得分 由于急性远端骨骨折导致的初级肘部关节整形术后的患者可接受的症状状态
Andreas Falkenberg Nielsen1,2, Marc Randall Kristensen Nyring1, Ali Al-Hamdani1
1Shoulder and Elbow Surgery, Herlev and Gentofte Hospital, Hellerup, Denmark.
Patient related outcome measures
|December 29, 2025
概括
在骨骨折的肘部关节整形术后,牛津肘部得分 (OES) 的患者可接受的症状状态 (PASS) 是 33. 这个值有助于解释临床试验的结果,并识别治疗失败.
科学领域:
- 整形外科 整形外科 整形外科
- 创伤外科 手术 创伤外科
- 患者报告的结果
背景情况:
- 患者可接受的症状状态 (PASS) 定义了患者认为可接受的术后最高症状水平.
- 牛津肘部评分 (OES) 是一种广泛使用的肘部特定患者报告结果 (PROM) 衡量标准.
- 肘部关节整形术后OES的PASS值以前没有确定.
研究的目的:
- 在初级肘部关节整形术后确定OES的PASS值.
- 为了研究患有急性远端骨骨折的患者的OES.
主要方法:
- 针对急性远端骨骨折进行肘部关节整形手术的患者进行了回顾性多中心队列研究 (2008-2021年).
- 通过电子健康记录追溯收集的数据.
- 使用后勤建模来确定95%的PASS值,代表可接受结果的OES值.
主要成果:
- 159名患者 (62%的应答率) 完成了OES和PASS-anchor.
- 中位数OES为41;87%的患者报告了可接受的结果.
- 在总人口中,OES的95% PASS值被确定为33 (95% CI 29.6-38.5).
结论:
- 在急性远端骨骨折的肘部关节整形术后OES的PASS值为33.
- 这一值在短期和长期随访期间保持一致.
- 推用于解释临床试验,注册研究和识别临床失败.
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