[从肩部肌肉骨骼病变中获得实质性临床益处的预后因素]。

S Soliño, F Mignone, P Policastro, T Vuoto, A Pierobon, J C Porollan
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引用次数: 0

摘要

导言:肩痛是一种常见的主诉病因,但很难做出准确诊断。材料与方法:这是对一组前瞻性肩痛患者进行的二次分析。分析了与出院时或初次评估四周后 SCB 相关的人口统计学和临床(自我报告量表)因素。SCB的定义是总体变化评分+5分。为了确定 SCB 的预测因素,我们建立了一个逻辑回归模型。曲线下面积 ROC 用于评估模型及其自变量的性能:对 138 例患者中的 101 例进行了分析。中位年龄为 55 岁(RIQ 37-61),样本中有 55 名女性(54.5%)。与 SCB 独立相关的变量是入院原因为骨折[调整 OR 11.8 (95% CI 1.4-101.8);p = 0.024],以及肩部症状持续时间短于 7 个月[调整 OR 4.63 (95% CI 1.9-11.1);p = 0.001].结论:骨折诊断和肩部症状持续时间短于 7 个月与治疗一个月后或患者出院时的 SCB 独立相关。
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[Prognostic factors for substantial clinical benefit from musculoskeletal pathologies of the shoulder].

Introduction: shoulder plain is a common cause of complain, however a precise diagnosis is hard to achieve. This is why finding factors associated to a good prognosis could help to improve our clinical practice.

Objective: to identify demographic and clinical characteristics from the initial assessment associated with substantial clinical benefit (SCB) in patients with shoulder pain one month after treatment or at patient's discharge.

Material and methods: this was a secondary analysis of a prospective cohort of patients with shoulder pain. Demographic and clinical (self-reported scales) factors associated with SCB at discharge or four weeks after the initial assessment, were analyzed. SCB was defined as a score +5 on a Global Rating of Change. A logistic regression model was made in order to identify predictors of SCB. The area under the curve ROC was used to assess the performance of the model with its independent variables.

Results: 101 patients of 138 were analyzed. The median age was 55 (RIQ 37-61) years old, there were 55 (54.5%) women in the sample. The variables independently associated to SCB were fracture as a reason for admission [adjusted OR 11.8 (95% CI 1.4-101.8); p = 0.024], and durations of shoulder symptoms shorter than seven months [adjusted OR 4.63 (95% CI 1.9-11.1); p = 0.001].

Conclusion: the diagnosis of fracture and durations of shoulder symptoms shorter than seven months were independently associated with a SCB after one month of treatment or at the patient's discharge.

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