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术前因素对骨关节炎初次全髋关节置换术后住院时间的影响:对2302例患者的多变量分析

The influence of pre-operative factors on the length of in-patient stay following primary total hip replacement for osteoarthritis: a multivariate analysis of 2302 patients.

作者信息

Dall G F, Ohly N E, Ballantyne J A, Brenkel I J

机构信息

New Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SA, UK.

出版信息

J Bone Joint Surg Br. 2009 Apr;91(4):434-40. doi: 10.1302/0301-620X.91B4.21505.

Abstract

We analysed which pre-operative factors could be used to predict the length of in-patient stay following unilateral primary total hip replacement undertaken for osteoarthritis. Data were collected prospectively from 2302 patients undergoing primary total hip replacement over a nine-year period. The relationships between the various pre-operative factors and length of stay were studied separately using either Student's t-test or Pearson's correlation, and then subjected to multiple linear regression analysis. The mean length of stay was 8.1 days (median 7; 3 to 58). After adjusting for the effects of other pre-operative factors, younger age, male gender, higher combined Harris hip function and activity score, higher general health perception dimension of the Short-Form 36 score, and non-steroidal anti-inflammatory drug use were all found to be significantly associated with a reduced length of stay.

摘要

我们分析了哪些术前因素可用于预测因骨关节炎接受单侧初次全髋关节置换术后的住院时间。在九年时间里,前瞻性收集了2302例行初次全髋关节置换术患者的数据。分别使用学生t检验或皮尔逊相关性分析研究了各种术前因素与住院时间之间的关系,然后进行多元线性回归分析。平均住院时间为8.1天(中位数7天;3至58天)。在调整了其他术前因素的影响后,发现年龄较小、男性、较高的Harris髋关节功能和活动综合评分、简短健康调查问卷36项评分中较高的总体健康感知维度以及使用非甾体抗炎药均与住院时间缩短显著相关。

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