2020年埃塞俄比亚贡达尔成人下肢骨折后功能限制及相关因素评估:前瞻性横断面研究

IF 1.7 Q2 ORTHOPEDICS

Orthopedic Research and Reviews Pub Date : 2021-03-09 eCollection Date: 2021-01-01 DOI:10.2147/ORR.S300459

Yihalem Belete, Gashaw Jember Belay, Tamiru Dugo, Moges Gashaw

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引用次数: 0

摘要

背景:下肢骨折约占所有骨折的三分之一。下肢骨折并发症是住院的主要原因之一，对康复服务有很大影响。下肢骨折的功能限制与功能活动能力下降、需要长期使用辅助器具、缺乏独立性以及长期需要辅助护理有关。本研究旨在通过下肢功能量表(LEFS)评估下肢骨折患者的功能限制，并确定可能的预测因素。方法:于2020年7月至10月30日在贡达尔大学综合专科医院进行前瞻性机构横断面研究。采用简单随机抽样的方法，通过面对面访谈、查阅病历和体检等方式收集226名参与者的资料。采用SPSS 25进行二元logistic回归分析，确定下肢骨折患者功能受限的预测因素。这种关联的强度通过调整后的优势比(OR)来体现。结果:182例(n = 182 (80.5%): 95% CI(74.8 ~ 85.8)患者下肢骨折后有功能限制。教育程度(AOR =5.50;95% CI: 1.707-17.742)，存在住院并发症AOR=3.26;95% CI(1.147-9.294)，疼痛严重程度AOR=3.19;95% CI(1.399-7.259)，发病时间AOR=9.512;95% CI(3.585-25.237)，膝关节屈曲限制AOR=7.13;95% CI(1.926-26.368)为功能受限的独立危险因素。结论:在研究中，下肢骨折患者的功能限制程度相当高。受教育程度、住院并发症、疼痛严重程度、发病时间、膝关节屈曲受限是功能受限的独立危险因素。

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Assessment of Functional Limitation and Associated Factors in Adults with Following Lower Limb Fractures, Gondar, Ethiopia in 2020: Prospective Cross-Sectional Study.

Background: Lower limb fractures account for approximately one-third of all fractures. Lower limb fracture complications are one of the major reasons for hospital stays and have high impact on rehabilitation services. Functional limitations with lower extremities fractures are related to decreased functional mobility, the need for long term use of assistive devices, lack of independence, and the long term need for assistive care. This study aimed to assess the functional limitation and identify the possible predictors among lower limb fracture patients by using the Lower Extremity Functional Scale (LEFS).

Methods: A prospective institutional-based cross-sectional study was conducted from July to October 30/2020, at University of Gondar, comprehensive specialized hospital. The data of 226 participants were collected through face-to-face interviews, patient record review and by physical examination with simple random sampling techniques. Binary logistic regression was used to identify predictors of functional limitation among lower limb fracture with SPSS 25. The strength of the association was present by adjusted odds ratios (OR).

Results: One hundred and eighty-two (n = 182 (80.5%): 95% CI (74.8 to 85.8) patients with following lower limb fracture have functional limitation. Level of education (AOR =5.50; 95% CI: 1.707-17.742), presence of hospitalized complication AOR=3.26; 95% CI (1.147-9.294), severity of pain AOR=3.19; 95% CI (1.399-7.259), duration of onset AOR=9.512; 95% CI (3.585-25.237), knee flexion limitation AOR=7.13; 95% CI (1.926-26.368) were the independent risk factors for functional limitation.

Conclusion: The magnitude of functional limitation in following lower limb fracture individual was considerably high in study setup. Level of education, presence of hospitalized complication, severity of pain, duration of onset, knee flexion limitation were the independent risk factors for functional limitation.

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来源期刊

Orthopedic Research and Reviews Medicine-Orthopedics and Sports Medicine

CiteScore

2.80

自引率

0.00%

发文量

审稿时长

16 weeks

期刊介绍： Orthopedic Research and Reviews is an international, peer-reviewed, open-access journal focusing on the patho-physiology of the musculoskeletal system, trauma, surgery and other corrective interventions to restore mobility and function. Advances in new technologies, materials, techniques and pharmacological agents will be particularly welcome. Specific topics covered in the journal include: Patho-physiology and bioengineering, Technologies and materials science, Surgical techniques, including robotics, Trauma management and care, Treatment including pharmacological and non-pharmacological, Rehabilitation and Multidisciplinarian care approaches, Patient quality of life, satisfaction and preference, Health economic evaluations. The journal welcomes submitted papers covering original research, basic science and technology, clinical studies, reviews and evaluations, guidelines, expert opinion and commentary, case reports and extended reports.