Patient satisfaction and return to work after endoscopic carpal tunnel surgery
Patient satisfaction and return to work after endoscopic carpal tunnel surgery
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DOI：
10.1016/s0363-5023(98)80090-7
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发表时间：
1998-01-01
影响因子：
1.9
通讯作者：
Ornstein, E
中科院分区：
文献类型：
--
作者：
Atroshi, I;Johnsson, R;Ornstein, E
128例特发性腕管综合征患者在手术前和单侧内窥镜腕管释放后3个月和6个月进行了评估。分析的变量包括患者人口统计学、症状和体征、日常生活活动（ADL）、敏感性和强度测量、术前正中神经远端运动潜伏期、手术医生、术后手掌疼痛和压痛、重返工作以及患者对手术结果的满意度。以术后6个月患者满意度和术后恢复工作时间为因变量，进行多变量统计分析。通过对所有术前变量的逐步logistic回归分析，术后6个月患者不满意的显著预测因素是年龄增大、重度振动暴露、ADL评分变差和远端运动潜伏期变好。所有术前和术后3个月的变量分析显示，重度振动暴露、较好的远端运动潜伏期和较差的术后3个月ADL存储与患者6个月的不满意度具有最强的独立相关性。术前变量和术后恢复工作的时间之间没有发现显著的独立关联。美国手部外科学会版权所有(C) 1998。
One hundred twenty-eight patients with idiopathic carpal tunnel syndrome were evaluated before surgery and 3 and 6 months after unilateral endoscopic carpal tunnel release. The variables analyzed included patient demographics, symptoms and signs, activities of daily living (ADL), sensibility and strength measurements, preoperative distal motor latency of the median nerve, operating surgeon, postoperative palmar pain and tenderness, return to work, and patient satisfaction with the results of surgery. Multivariate statistical analyses were per-formed, with patient satisfaction at 6 months after surgery and the time until return to work after surgery as the dependent: variables. On stepwise logistic regression analysis of all preoperative variables, significant predictors of patient dissatisfaction at 6 months after surgery were higher age, heavy vibration exposure, worse ADL score, and better distal motor latency. Analysis of all preoperative and 3-month postoperative variables showed heavy vibration exposure, better distal motor latency, and worse 3-month postoperative ADL store to have the strongest independent correlation with patient dissatisfaction al 6 months. No significant independent association was found between any of the preoperative variables studied and the length of time until return to work after surgery. Copyright (C) 1998 by the American Society for Surgery of the Hand.