Kili Sven, Wright Ian, Jones Richard Spencer
Trauma and Orthopaedics Department, Royal Shrewsbury Hospital, Shrewsbury, Shropshire, UK.
Ann R Coll Surg Engl. 2003 Jul;85(4):269-71. doi: 10.1308/003588403766275006.
To investigate the change in the Harris hip score in patients waiting for a total hip replacement, between the time of listing for operation and immediately pre-operatively.
For 167 consecutive patients listed for total hip replacement, the Harris hip score was taken both at time of listing for surgery and at pre-operative assessment 2 weeks prior to surgery.
The median wait for operation in our unit was 330 days. The Harris score immediately preoperatively decreased compared with the initial score, with a mean decrease of 8.9 points. This result was highly statistically significant. Decrease in score also correlated with time on the waiting list.
Patients requiring total hip replacement deteriorate while on the waiting list. Waiting times should be as short as possible to reduce unnecessary suffering.
研究等待全髋关节置换术的患者从列入手术名单之时到术前即刻Harris髋关节评分的变化情况。
对于连续167例列入全髋关节置换术名单的患者，在列入手术名单时以及术前2周进行术前评估时均采用Harris髋关节评分。
我们科室患者的中位等待手术时间为330天。术前即刻的Harris评分与初始评分相比有所下降，平均下降8.9分。这一结果具有高度统计学意义。评分下降也与等待名单上的时间相关。
需要进行全髋关节置换术的患者在等待名单上时病情会恶化。等待时间应尽可能短，以减少不必要的痛苦。
