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首页> 外文期刊>Canadian journal of surgery: Journal canadien de chirurgie >Lost but not forgotten: patients lost to follow-up in a trauma database.
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Lost but not forgotten: patients lost to follow-up in a trauma database.

机译：丢失但未被遗忘：患者在创伤数据库中失去了随访。

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OBJECTIVES: To determine the characteristics of patients lost to follow-up and to identify if they are significantly different from those who are followed up in the context of a prospective randomized controlled trial. DESIGN: A retrospective review of a prospectively acquired trauma database. SETTING: A level 1 university-affiliated trauma hospital. PATIENTS: Two hundred and thirty-six patients treated for displaced intra-articular calcaneal fractures between April 1991 and December 1996. Of these, 198 were catcgorized as "attenders" and the remaining 38 were deemed "nonattenders." Demographics, severity of injury, intervention and post-treatment status of the 2 groups were compared. Demographic information, including age, gender, occupation workload, Workers' Compensation Board involvement and other standard trauma information were compared and the differences analyzed. RESULTS: The nonattenders were younger than the attenders, and there was a significantly increased proportion of Aboriginal Canadians in the nonattenders group. Attenders were more likely to be "skilled or semi-skilled clerical, sales, service or trades crafts" workers, and nonattenders were more likely to be unskilled clerical, sales, service or labour more likely to have a preoperative Bohler's angle of < 0 degrees, compared with a preoperative Bohler's angle of 0 degrees to 15 degrees for nonattenders. CONCLUSIONS: This trauma population is at higher risk of being marginalized by society and may not have the same accessibility to a study nurse or a hospital contact person. Patients lost to follow-up are a demographically and clinically different patient population from those who remain involved in a long-term prospective trauma study.
机译：目的：确定因随访而失去的患者的特征，并确定他们是否与前瞻性随机对照试验中随访的患者明显不同。设计：回顾性分析预期获得的创伤数据库。地点：一级附属大学附属创伤医院。病人：1991年4月至1996年12月间，共346例因移位的关节内跟骨骨折而接受治疗。其中198例归为“主治”，其余38例为“无主治”。比较两组的人口统计学，损伤严重程度，干预和治疗后状态。比较了人口统计信息，包括年龄，性别，职业工作量，工人赔偿委员会的参与程度和其他标准创伤信息，并分析了差异。结果：非参加者比参加者年轻，并且非参加者组中原住民的比例显着增加。参加者更有可能是“熟练或半熟练的文员，销售，服务或手工艺”工人，非参加者则更有可能是非熟练的文员，销售，服务或劳力的术前Bohler角<0度，相比之下，无创者的术前Bohler角为0度到15度。结论：该创伤人群处于被社会边缘化的较高风险中，并且可能与研究护士或医院联系人的访问权限不同。失去随访的患者与继续参与长期前瞻性创伤研究的患者在人口统计学和临床​​上均不同。

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