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与17478例桡骨远端骨折患者报告的不良预后相关的社会经济因素。

Socioeconomic factors associated with poor patient-reported outcomes of 17,478 patients after a distal radial fracture.

作者信息

Jakobsson Hugo, Möller Michael, Cao Yang, Lundqvist Eva, Wretenberg Per, Sagerfors Marcus

机构信息

Department of Hand and Orthopedic Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.

出版信息

J Hand Surg Eur Vol. 2025 Jul;50(7):956-964. doi: 10.1177/17531934241293426. Epub 2024 Nov 2.

Abstract

This study aimed to investigate the association of socioeconomic factors, country of birth and comorbidities with poor patient-reported outcome 1 year after a distal radial fracture. The patient population was obtained from the Swedish Fracture Register. In the study, 17,468 patients 18 years or older were included. Poor outcome was the dependent variable in a multivariate logistic regression analysis. The factors with the strongest association with poor outcome were country of birth outside the European Union (odds ratio (OR) = 2.28; 95% CI = 1.91-2.73), high-energy trauma mechanism (OR = 1.76; 95% CI = 1.46-2.12), a history of anxiety or depression (OR = 1.46; 95% CI = 1.26-1.70), and a Charlson comorbidity index ≥3 (OR = 1.51; 95% CI = 1.17-1.94). Alleviating the effects of these factors could potentially decrease the proportion of patients with a disability after a distal radial fracture. III.

摘要

本研究旨在调查社会经济因素、出生国家和合并症与桡骨远端骨折1年后患者报告的不良预后之间的关联。患者群体来自瑞典骨折登记处。该研究纳入了17468名18岁及以上的患者。在多因素逻辑回归分析中,不良预后是因变量。与不良预后关联最强的因素包括出生在欧盟以外的国家(比值比(OR)=2.28;95%置信区间(CI)=1.91-2.73)、高能量创伤机制(OR=1.76;95%CI=1.46-2.12)、焦虑或抑郁病史(OR=1.46;95%CI=1.26-1.70)以及Charlson合并症指数≥3(OR=1.51;95%CI=1.17-1.94)。减轻这些因素的影响可能会降低桡骨远端骨折后残疾患者的比例。III.

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac87/12149451/4348c77f6f57/10.1177_17531934241293426-fig1.jpg

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