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患者在接受下肢全关节置换术和关节镜检查前报告体重的准确性。

The accuracy of patient-reported weight prior to total joint arthroplasty and arthroscopy of the lower extremity.

机构信息

Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA, 19104, USA.

Department of Orthopaedic Surgery, Center for Hip Preservation, Orthopaedic and Rheumatologic Institute, Cleveland Clinic Foundation, 9500 Euclid Ave, Mail code A41, Cleveland, OH, 44195, USA.

出版信息

Arch Orthop Trauma Surg. 2022 Sep;142(9):2381-2388. doi: 10.1007/s00402-021-04095-5. Epub 2021 Jul 31.

Abstract

PURPOSE

The accuracy of preoperative patient-reported weight was never evaluated in patients undergoing lower extremity procedures. The purpose of this study was to: (1) compare the disparity between patient-reported and measured weights in patients undergoing lower extremity total joint arthroplasty (LE-TJA) and arthroscopy; and (2) investigate the association between patient-specific factors (patient age, BMI, zip code, and psychiatric comorbidities) and the accuracy of patient-reported weight.

METHODS

Preoperative self-reported weights were retrospectively compared to measured weights in 400 LE-TJA and 85 control arthroscopy patients. The difference between reported and measured weights was calculated. Additionally, the percent of accurate reporting within 0.5, 1, and 5 kg ranges of the measured weight was calculated. Outcomes were compared between surgical modalities as well as between patient-specific factors.

RESULTS

There was low disparity (p = 0.838) between patient-reported and measured weights among LE-TJA (mean difference 0.18 ± 3.63 kg; p = 0.446) and that of arthroscopy (0.27 ± 4.08 kg; p = 0.129) patients. Additionally, LE-TJA patients were equally likely to report weights accurately within 0.5 kg of the measured weight (74% vs. 71.76%; p = 0.908). LE-TJA and arthroscopy patients had similar reporting accuracy within 1 and 5 kg of the measured weights (p > 0.05).

CONCLUSION

Preoperative patient-reported weights demonstrated acceptable accuracy in both LE-TJA and lower extremity arthroscopic orthopaedic patient populations making it a potentially reliable parameter of preoperative assessment.

摘要

目的

术前患者报告的体重准确性从未在接受下肢手术的患者中进行过评估。本研究的目的是:(1)比较接受下肢全关节置换术(LE-TJA)和关节镜检查的患者报告的体重与测量的体重之间的差异;(2)研究患者特定因素(患者年龄、BMI、邮政编码和精神共病)与患者报告体重准确性的相关性。

方法

回顾性比较 400 例 LE-TJA 和 85 例对照关节镜检查患者的术前自我报告体重与测量体重。计算报告体重与测量体重之间的差异。此外,还计算了报告体重在测量体重的 0.5、1 和 5kg 范围内准确的百分比。比较手术方式和患者特定因素之间的结果。

结果

LE-TJA(平均差异 0.18±3.63kg;p=0.446)和关节镜检查(0.27±4.08kg;p=0.129)患者报告的体重与测量的体重之间差异较小。此外,LE-TJA 患者报告体重与测量体重相差 0.5kg 的准确率相同(74%与 71.76%;p=0.908)。LE-TJA 和关节镜检查患者在测量体重的 1 和 5kg 范围内报告的准确率相似(p>0.05)。

结论

LE-TJA 和下肢关节镜矫形患者群体的术前患者报告体重显示出可接受的准确性,使其成为术前评估的潜在可靠参数。

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