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骨科门诊患者中骨科问题的发生率:对23495例病例的回顾性分析

Frequency of orthopedic problems among patients attending an orthopedic outpatient department: a retrospective analysis of 23 495 cases.

作者信息

Syed Muhammad Azfar, Azim Syeda Rubaba, Baig Mukhtiar

机构信息

From the Department of Orthopedics, Jeddah National Hospital, Jeddah, Saudi Arabia.

From the Department of Medical Education, Dow University of Health Sciences, Karachi, Pakistan.

出版信息

Ann Saudi Med. 2019 May-Jun;39(3):172-177. doi: 10.5144/0256-4947.2019.172. Epub 2019 May 30.

Abstract

BACKGROUND

Baseline statistical data on the current orthopedic outpatient load was needed to highlight the more frequent orthopedic problems.

OBJECTIVE

Describe the frequency of orthopedic problems among patients attending the orthopedic outpatient department (OPD).

DESIGN

Descriptive, retrospective medical record review.

SETTINGS

Four-year data (2013-2017) was extracted from the computer records of patients attending the orthopedics OPD.

PATIENTS AND METHODS

Computer entries of OPD visits were found, and after excluding incomplete and follow up data, age, gender, and diagnoses were described.

MAIN OUTCOME MEASURES

Frequency of orthopedic diagnoses.

SAMPLE SIZE AND CHARACTERISTICS

23 495 patients, 19 377 (82.5%) males and 4118 (17.5%) females, majority (18 155, 77.3%) 19-50 years of age.

RESULTS

Lower back pain (26%), tendinopathies and enthesopathies (18.3%), and bone fractures (11%) were the three common problems followed by arthritis (10.6%), nonspecific body ache (7.4%), and soft tissue injuries (9.9%). Others prominent diagnoses were ligamentous sprains (6.4%), neck-related problems (4.8%), joint stiffness (1.8%) and sports injuries (1%).

CONCLUSION

This overview of the orthopedic problems in a secondary care hospital may aid in the formulation of better protocols and strategies to manage orthopedic disorders in a healthcare setting.

LIMITATIONS

Retrospective and only included the primary diagnosis.

CONFLICT OF INTEREST

None.

摘要

背景

需要当前骨科门诊量的基线统计数据来突出更常见的骨科问题。

目的

描述骨科门诊患者中骨科问题的发生频率。

设计

描述性回顾性病历审查。

地点

从骨科门诊患者的计算机记录中提取了四年的数据(2013 - 2017年)。

患者与方法

查找门诊就诊的计算机记录,排除不完整和随访数据后,描述患者的年龄、性别和诊断情况。

主要观察指标

骨科诊断的频率。

样本量及特征

23495例患者,男性19377例(82.5%),女性4118例(17.5%),大多数(18155例,77.3%)年龄在19 - 50岁。

结果

下背痛(26%)、肌腱病和附着点病(18.3%)以及骨折(11%)是三大常见问题,其次是关节炎(10.6%)、非特异性全身疼痛(7.4%)和软组织损伤(9.9%)。其他突出的诊断包括韧带扭伤(6.4%)、颈部相关问题(4.8%)、关节僵硬(1.8%)和运动损伤(1%)。

结论

对二级护理医院骨科问题的概述可能有助于制定更好的方案和策略,以管理医疗环境中的骨科疾病。

局限性

回顾性研究且仅包括初步诊断。

利益冲突

无。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1692/6832329/d2f734e3d0e6/asm-3-172.jpg

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