关节镜下肩唇修复后心理健康和关节特异性患者报告的结果测量的变化

Q2 Medicine
Kristen E. Hines BS , Natalie A. Lowenstein MPH , Jillian L. Mazzocca BA , Cale A. Jacobs PhD , Elizabeth G. Matzkin MD
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引用次数: 0

摘要

目的是确定心理健康对关节镜下阴唇修复术后预后的影响。假设术前低心理健康,通过退伍军人RAND 12项健康调查心理成分评分(vr - 12mcs)测量,会显示术前和术后患者报告的结果较差,但这种改善是相似的。方法对50例接受关节镜下前唇修复术的患者进行回顾性分析。受试者在4个时间点完成VR-12 MCS、疼痛视觉模拟量表(VAS)评分、美国肩肘外科医生(ASES)评分和单一评估数值评估(SANE)。VR-12 MCS评分低于42.9的受试者被归类为低MCS组,VR-12 MCS评分高于42.9的受试者被归类为高MCS组。比较两组患者报告的结果。结果平均随访18.7个月,as (P <;.001), VAS(低MCS P = .004;高MCS P <;.001), SANE (P <;.001)评分显著提高。低MCS组在两个时点的as评分均显著低于对照组(P = 0.01);然而,as术前和术后的变化没有差异(P = 0.32)。在高MCS组中,VR-12 MCS评分保持不变,而在低MCS组中,VR-12 MCS评分显著提高(P = 0.01)。结论低VR-12 MCS组患者术后预后较低,但与高VR-12 MCS组患者相比,术前和术后在ASES、SANE和VAS方面的改善相似。低MCS组的VR-12 MCS显著改善,提示术前低心理健康评分不应被视为手术禁忌症,心理健康评分是可以修改的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Changes in mental health and joint-specific patient-reported outcome measures following arthroscopic shoulder labral repair

Background

The purpose was to identify the effects of mental health on postoperative outcomes following arthroscopic labral repair. It was hypothesized that low preoperative mental health, measured by the Veterans RAND 12-Item Health Survey Mental Component Score (VR-12 MCS), would demonstrate inferior patient-reported outcome measures preoperatively and postoperatively, but that improvement would be similar.

Methods

Fifty subjects undergoing a primary arthroscopic anterior labral repair were included. Subjects completed the VR-12 MCS, Pain Visual Analog Scale (VAS) score, American Shoulder and Elbow Surgeons (ASES) score, and Single Assessment Numeric Evaluation (SANE) at 4 timepoints. Subjects with a VR-12 MCS score below 42.9 were classified to a low MCS cohort and those with a VR-12 MCS score above 42.9 were cataloged to a high MCS group. Patient-reported outcome measures were compared between the 2 groups.

Results

At mean follow-up of 18.7 months, ASES (P < .001), VAS (low MCS P = .004; high MCS P < .001), and SANE (P < .001) scores significantly improved for both cohorts. The low MCS group had significantly lower ASES scores at both points (P = .01); however, the preoperative to postoperative change in ASES (P = .32) did not differ. VR-12 MCS scores remained constant in the high MCS cohort but significantly improved for the low MCS cohort (P = .01).

Conclusion

Patients in the low VR-12 MCS group had lower postoperative outcomes but demonstrated similar preoperative to postoperative improvements in ASES, SANE, and VAS to those in the high group. VR-12 MCS significantly improved for the low MCS group suggesting that low preoperative mental health scores should not be considered a contraindication for surgery and mental health scores are modifiable.
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来源期刊
JSES International
JSES International Medicine-Surgery
CiteScore
2.80
自引率
0.00%
发文量
174
审稿时长
14 weeks
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