我们集团组织了 3000 多个全球系列会议 每年在美国、欧洲和美国举办的活动亚洲得到 1000 多个科学协会的支持 并出版了 700+ 开放获取期刊包含超过50000名知名人士、知名科学家担任编委会成员。

开放获取期刊获得更多读者和引用
700 种期刊 15,000,000 名读者 每份期刊 获得 25,000 多名读者

索引于
  • 哥白尼索引
  • 谷歌学术
  • 打开 J 门
  • Genamics 期刊搜索
  • 学术钥匙
  • 安全点亮
  • 参考搜索
  • 哈姆达大学
  • 亚利桑那州EBSCO
  • OCLC-世界猫
  • 普布隆斯
  • ICMJE
分享此页面

抽象的

Reported Complications Following Total Knee Arthroplasty-Do We Need to Reconsider What, and How, to Measure and Classify Them?

Catherine J Minns, Catherine M Sackley, David W Murray and Karen L Barker

Background: Inadequate data is available regarding the patients’ perspective of complications following total knee arthroplasty. A recent physiotherapy feasibility trial provided opportunity to explore patients’ perspective of complications following total knee arthroplasty, and to reflect upon the extent to which these concur with the Knee Society’s new Standardized List and Definitions of complications.

Purposes: 1. To explore if self report patient data collected post-operatively would provide a different picture of complications than is usually reported using data from medical notes. 2. To develop and describe an approach for a classification system to measure and report post-operative complications that is relevant for physiotherapists, surgeons and patients.

Methods: Prospective survey of patients’ self reported complications and retrospective comparison of patient and medical record accounts of complications was performed during a prospective single blind randomised clinical trial (n=107). Patients were asked to self report complications at 3 and 12 months follow ups. Medical notes of patients reporting major specific complications were examined. Descriptive statistics were used. Self report data was classified into major and minor surgical and non-surgical complications.

Results: 12% (n=11/96) of participants self reported a total of 17 major complications at 3 months and 23% (n=22/96) reported 24 major complications at 12 months. 58% (n=56/96) reported 83 further complications. 38% (n=36/96) participants reported no further complications. Self reported data described greater variety regarding complications than previously seen. Data varied according to source (self report versus medical notes) and differed widely from the Knee Society’s list. A possible classification system is presented and discussed.

Conclusions: Data are presented to stimulate debate regarding how complications should be defined and reported following interventions. Complications following arthroplasty are still being defined and measured by expert opinion. Discussion is needed regarding the collection, interpretation and relevance of complications data to both patients and all healthcare professionals.