Epidemiology, characteristics, and evaluation of patients with ankle sprains presenting to the emergency room
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Date
2020
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Ievads. Potīšu saišu sastiepumi ir viena no visbiežāk sastopamajām traumām primārās veselības aprūpes vidē. Epidemioloģiskie pētījumi liecina, ka šādas traumas ik gadu piedzīvo daudzi iedzīvotāji. Šīs traumas bieži tiek nepietiekami novērtētas un uzskatītas par niecīgām, kaut arī pierādījumi liecina par to potenciālu izraisīt ievērojamu nespēju un ar to saistītos medicīniskos izdevumus.
Mērķis. Šī zinātniskā pētījuma mērķis ir izpētīt un novērtēt pacientus ar potīšu saišu sastiepumiem, lai labāk izprastu traumu un ar to saistītos faktorus.
Materiāli un metodes. Šis zinātniskais darbs ir izstrādāts, veicot zinātnisku pētījumu un literatūras apskatu, proti, ievācot informāciju par potīšu saišu sastiepumiem no zinātniskiem žurnāliem, grāmatām un tīmeklī pieejamās literatūras. Rīgas 2. slimnīcas neatliekamās palīdzības telpā tika izmeklēti 35 pacienti ar diagnosticētu potītšu saišu sastiepumu, kā arī aizpildīta apskates un izmeklējuma veidlapa. Pēc tam dati tika kodēti programmā Excel un analizēti, izmantojot SPSS.
Rezultāti. Visbiežākais traumas cēlonis bija kritiens (28,6 %), tam sekoja paklupšana (20,0 %) un sports (17,1 %). Visizplatītākais sastiepumu veids (82,9 %) bija inversijas traumas. Lielākajai pacientu daļai ir bijis iepriekšējs potītes sastiepums tai pašai potītē (60 %), un pacienti ar iepriekšēju sastiepumu nākamajā reizē bieži piedzīvoja mazākas pakāpes sastiepumu (p=0,022). Lielākā daļa pacientu bija vīrieši (N=19), bet nebija statistiski nozīmīgas atšķirības starp vīriešiem un sievietēm un viņu traumu smagumu (p=0,063%). ĶMI nebija prognozējošs sastiepuma smaguma faktors (p=0,840). Visi pacienti tika nosūtīti uz radioloģijas nodaļu, kur viņiem tika veikts rentgens.
Secinājums. Potīšu saišu sastiepumi anamnēzē ietekmē nākamā sastiepuma smagumu. Vairāk vīriešu meklē neatliekamo palīdzību sastiepumu gadījumos un galvenais cēlonis ir kritiens. Ir redzams potenciāls samazināt izmaksas un laika patēriņu, ieviešot OAR (Ottawa Ankle Rules) un pastiprināti pievēršot uzmanību profilaksei. Rīgas 2. slimnīcai tiek ieteikts apsvērt OAR ieviešanu.
Introduction: Ankle sprains are one of the most common injuries seen in a primary health care setting. Epidemiological studies have shown that a significant amount of the population experience these injuries every year. These injuries are often underestimated and viewed as a minor injury, despite evidence suggesting that they have the potential to cause significant disability and associated medical expenses. Objective: The aim of this scientific study is to examine and evaluate patients with ankle sprains to better understand the injury and its associated factors. Materials and methods: This scientific thesis is made by executing a scientific study and literature review. This was done by collecting information on ankle sprains from scientific journals, books, and available web-based literature. 35 patients with a diagnosed ankle sprain were examined at the emergency room of Riga 2nd hospital, and a survey and examination form was filled out. The data was then coded in Excel and analysed using SPSS. Results: Falling over was the most common cause of injury (28.6%), followed by tripping (20.0%) and sports (17.1%). Inversion injury was by far the most common type of sprain (82.9%). The majority of the patients had previously suffered an ankle sprain in the same ankle (60%), and the patients with a previous sprain were more likely to suffer a lower grade sprain the next time (p=0.022). Most of the patients were men (N=19), but there was no statistically significant difference between men and women and their severity of injury (p=0.063%). BMI was not a predictive factor for the severity of sprain (p=0.840). Every patient was sent to the radiology department and had an x-ray taken. Conclusion: Previous ankle sprains affect the severity of the next sprain. More men seek out emergency care for sprains, with falling over as the most common cause. There is a potential to reduce the cost and time consumption by implementing OAR (Ottawa Ankle Rules) and increasing focus on prevention. Riga 2nd hospital is suggested to consider implementing OAR
Introduction: Ankle sprains are one of the most common injuries seen in a primary health care setting. Epidemiological studies have shown that a significant amount of the population experience these injuries every year. These injuries are often underestimated and viewed as a minor injury, despite evidence suggesting that they have the potential to cause significant disability and associated medical expenses. Objective: The aim of this scientific study is to examine and evaluate patients with ankle sprains to better understand the injury and its associated factors. Materials and methods: This scientific thesis is made by executing a scientific study and literature review. This was done by collecting information on ankle sprains from scientific journals, books, and available web-based literature. 35 patients with a diagnosed ankle sprain were examined at the emergency room of Riga 2nd hospital, and a survey and examination form was filled out. The data was then coded in Excel and analysed using SPSS. Results: Falling over was the most common cause of injury (28.6%), followed by tripping (20.0%) and sports (17.1%). Inversion injury was by far the most common type of sprain (82.9%). The majority of the patients had previously suffered an ankle sprain in the same ankle (60%), and the patients with a previous sprain were more likely to suffer a lower grade sprain the next time (p=0.022). Most of the patients were men (N=19), but there was no statistically significant difference between men and women and their severity of injury (p=0.063%). BMI was not a predictive factor for the severity of sprain (p=0.840). Every patient was sent to the radiology department and had an x-ray taken. Conclusion: Previous ankle sprains affect the severity of the next sprain. More men seek out emergency care for sprains, with falling over as the most common cause. There is a potential to reduce the cost and time consumption by implementing OAR (Ottawa Ankle Rules) and increasing focus on prevention. Riga 2nd hospital is suggested to consider implementing OAR
Description
Medicīna
Medicine
Veselības aprūpe
Health Care
Medicine
Veselības aprūpe
Health Care
Keywords
Potīšu saišu sastiepumi, Ankle sprains