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

Hugo Jakobsson, Michael Möller, Yang Cao, Eva Lundqvist, Per Wretenberg, Marcus Sagerfors
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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.Level of evidence: III.

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社会经济因素与 17,478 名桡骨远端骨折患者的不良疗效相关。
本研究旨在调查社会经济因素、出生国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系。研究对象来自瑞典骨折登记处。研究共纳入了17468名18岁或18岁以上的患者。不良预后是多变量逻辑回归分析的因变量。与不良预后关系最密切的因素是出生在欧盟以外的国家(比值比 (OR) = 2.28; 95% 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:证据等级:III。
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