Mitchell Anthony, Martin Sean, Haider Mohammad N, Kovacs Alexander, Mogerman Jacob, Ablove Robert
University at Buffalo, NY, USA.
Hand (N Y). 2024 Oct 5:15589447241284304. doi: 10.1177/15589447241284304.
Patient-reported allergies have been shown to be a risk factor for poor surgical outcomes in a variety of orthopedic procedures. The relationship between patient-reported allergies and outcomes in carpal tunnel surgery remains unclear.
A retrospective electronic medical chart review was conducted on 390 patients who underwent primary carpal tunnel releases, without concomitant procedures, who completed preoperative and postoperative Quick Disabilities of Arm, Shoulder, and Hand or Patient-Rated Wrist Evaluation scores, with a minimum of 1-year follow-up. Patient demographic data and patient-reported outcome measures were collected. Patients were grouped based on the number of allergies reported (≤3 allergies or ≥4 allergies), and statistical analysis was performed.
Three hundred and ninety patients were included in the analysis (347 patients [89.0%] with ≤3 allergies; 43 patients [11.0%] with ≥4 allergies). Patients were predominantly female (n = 243, 62.3%), and the median age at surgery was 61 years. Patients with ≥4 allergies were more likely to be female (88.4% vs 59.1%), older (64.3 years vs 60.3 years), and more likely to be taking psychotropic medication (51.2% vs 28.2%). No differences were seen in patient-reported outcomes at any time point preoperatively or postoperatively, with both groups showing similar postoperative improvement.
Patients with a high number of reported allergies have similar improvement in patient-reported outcomes following carpal tunnel release as low-allergy cohorts.
在各种骨科手术中，患者自述的过敏史已被证明是手术效果不佳的一个风险因素。患者自述的过敏史与腕管手术效果之间的关系仍不明确。
对390例行初次腕管松解术且未同时进行其他手术的患者进行回顾性电子病历审查，这些患者完成了术前和术后的手臂、肩部和手部快速残疾评估或患者自评腕部评估评分，且随访时间至少为1年。收集患者的人口统计学数据和患者报告的结局指标。根据报告的过敏数量（≤3种过敏或≥4种过敏）对患者进行分组，并进行统计分析。
390例患者纳入分析（347例患者[89.0%]有≤3种过敏；43例患者[11.0%]有≥4种过敏）。患者以女性为主（n = 243，62.3%），手术时的中位年龄为61岁。有≥4种过敏的患者更可能为女性（分别为88.4%和59.1%）、年龄更大（分别为64.3岁和60.3岁），且更可能正在服用精神类药物（分别为51.2%和28.2%）。术前或术后任何时间点，两组患者报告的结局均无差异，两组术后改善情况相似。
与低过敏组相比，自述过敏数量多的患者在腕管松解术后患者报告的结局方面改善情况相似。
