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接受全膝关节置换术患者的流行病学和临床概况。

Epidemiological and Clinical Profile of Patients Submitted to Total Knee Arthroplasty.

作者信息

Loures Fabrício Bolpato, Góes Rogério Franco de Araújo, Gusmão Caio Veloso, Albuquerque Rodrigo Sattamini Pires E, Labronici Pedro José

机构信息

Hospital Santa Teresa, Petrópolis, RJ, Brasil.

Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brasil.

出版信息

Rev Bras Ortop (Sao Paulo). 2021 Mar 31;57(2):223-229. doi: 10.1055/s-0041-1724080. eCollection 2022 Apr.

Abstract

To define the epidemiological profile and the associated comorbidities of patients submitted to total knee arthroplasty (TKA) in two reference hospitals.  During the present cross-sectional observational study, 294 patients submitted to TKA were evaluated in 2 tertiary care hospitals. The diagnosis of self-reported comorbidities was collected by direct interview. The Functional Comorbidity Index (FCI) and the 5-Factor Modified Frailty Index (mFI-5) were calculated. The incidence of comorbidities and their relationship with the calculated indexes were evaluated.  Most of the patients in the sample were women (  = 0.000) between the seventh and eighth decades of life. Systemic arterial hypertension was the most common pathology, followed by obesity and diabetes mellitus. The FCI presented a direct relationship with females (  = 0.038) and obesity (  < 0.001). The mFI-5 was only associated to obesity (  = 0.022), demonstrating a higher chance of complications in this group.  Patients undergoing TKA are essentially carriers of clinical comorbidities that can negatively influence functional results and compromise the safety of the procedure. The identification of risk factors can contribute to the safety and better selection of TKA candidates.

摘要

确定两家参考医院中接受全膝关节置换术(TKA)患者的流行病学特征及相关合并症。

在本次横断面观察性研究中,对两家三级护理医院中294例接受TKA的患者进行了评估。通过直接访谈收集自我报告合并症的诊断信息。计算功能合并症指数(FCI)和五因素改良虚弱指数(mFI-5)。评估合并症的发生率及其与计算指数的关系。

样本中的大多数患者为七、八十岁的女性(P = 0.000)。系统性动脉高血压是最常见的病症,其次是肥胖症和糖尿病。FCI与女性(P = 0.038)和肥胖症(P < 0.001)呈直接关系。mFI-5仅与肥胖症相关(P = 0.022),表明该组患者发生并发症的几率更高。

接受TKA的患者基本上都患有临床合并症,这些合并症会对功能结果产生负面影响,并危及手术安全。识别风险因素有助于提高TKA候选患者的安全性及更好地进行患者选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3236/9142232/917d5369a581/10-1055-s-0041-1724080-i2000200en-1.jpg

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