印度卡纳塔克邦沿海地区部分三级护理医院残疾评估患者的人口统计学概况：一项回顾性研究。

A Demographic Profile of Disability Assessed Patients in Selected Tertiary Care Hospitals in Coastal Karnataka, India: A Retrospective Study.

作者信息

Shetty Ullasa

机构信息

Department of Forensic Medicine and Toxicology, A.J. Institute of Medical Sciences and Research Centre, Mangalore, Karnataka 575004 India.

出版信息

Indian J Orthop. 2022 Aug 31;56(11):1944-1949. doi: 10.1007/s43465-022-00706-4. eCollection 2022 Nov.

DOI:10.1007/s43465-022-00706-4

PMID:36310552

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9562943/

Abstract

BACKGROUND

Disability assessment is a critical component in getting a comprehensive and amicable compensation in medico-legal cases. The data regarding acquired disability among the hospital-admitted patients are lacking. The purpose of this study was to determine the demographic profile of disability-assessed patients in tertiary care hospitals in Coastal Karnataka, India between 2010 and 2019. The study also aims to evaluate the pitfalls in the present assessment method.

MATERIALS AND METHODS

A record-based retrospective study of all the cases assessed by the investigator in tertiary care hospitals in Coastal Karnataka between 2010 and 2019 was analyzed. The disability was assessed using Govt. of India guidelines. Data were analyzed using descriptive statistics.

RESULTS

A total of 2004 cases were analyzed; among them, 85% were males. The average percentage of disability was 26% (SD = 16.2). Mean age of the patients was 38 years, the median calculated for duration of hospital stay was 15 days, and 15% patients had multiple disabilities. The Brachial plexus injury resulted in the highest percentage of disability (76%) followed by spine (43%) and head injury (38%). Locomotor disability was found in 77% of cases, and lower limbs and right side were involved twice more than the upper limbs and left side.

CONCLUSION

The study reveals the demographic profile of disability-assessed patients admitted in hospitals. This database will help to create awareness among health care professionals, Govt. bodies, and insurance companies about the magnitude of the problem.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s43465-022-00706-4.

摘要

背景

伤残评定是在医疗法律案件中获得全面且友好赔偿的关键环节。目前缺乏关于医院收治患者后天性残疾的数据。本研究的目的是确定2010年至2019年印度卡纳塔克邦沿海地区三级医院接受伤残评定患者的人口统计学特征。该研究还旨在评估当前评估方法中的缺陷。

材料与方法

对研究者于2010年至2019年期间在卡纳塔克邦沿海地区三级医院评估的所有病例进行基于记录的回顾性研究。使用印度政府指南进行伤残评定。采用描述性统计方法对数据进行分析。

结果

共分析了2004例病例；其中，85%为男性。平均伤残百分比为26%（标准差=16.2）。患者的平均年龄为38岁，住院时间的中位数为15天，15%的患者存在多种残疾。臂丛神经损伤导致的残疾百分比最高（76%），其次是脊柱损伤（43%）和头部损伤（38%）。77%的病例存在运动残疾，下肢和右侧受累的次数是上肢和左侧的两倍。