PDF(Pubmed)
Abstract：
Non-traumatic orthopedic conditions are pathological conditions involving musculoskeletal system that includes muscles, tendons, bone and joints and associated with frequent medical and surgical care and high treatment costs. There is paucity of information on the pattern of non-traumatic orthopedic conditions in low and middle income countries. The purpose of this study was to determine the epidemiology of non-traumatic orthopedic conditions among inpatients at the Kenyatta National Hospital in Kenya. This was a cross-sectional study with a sample of 175 charts reviewed. Approximately, 70.3% of the inpatients were aged between 25 to 64 years of age with the mean age of 39.97 years (STD 18.78). Ever married tended to be older 53.5 (95% CI: 46.8-60.2) years than other marital statuses. Approximately, 60.6% were males, 38.9% had comorbidities and 49.1% were casuals or unemployed. All inpatients were Kenyans with Nairobi County comprising 52.6% of all inpatients. Approximately, 77.7% were self-referrals. The commonest non-trauma orthopaedic conditions were infection and non-union (35.4%) and spinal degenerative diseases (20.60%) and the least was limb deformities (1.70%). Compared to females, males were 3.703 (p<0.001) times more likely to have infection and non-union. Patients with primary, secondary and tertiary education were 88.2% (p<0.001), 75.6% (p<0.001) and 68.1% (p = 0.016) less likely to have infection and non-union compared to those with no or preschool education. Widows were 8.500 (p = 0.028) times more likely to have spinal degenerative disease than married. Males were 70.8% (p = 0.031) less likely to have osteoarthritis than females. Inpatients with secondary education were 5.250 (p = 0.040) times more likely to have osteoarthritis than those with no or preschool education. In conclusion, majority of inpatients were young and middle aged adults. Infection and non-union and spinal degenerative diseases were the most common non-trauma orthopedic conditions. While males and those with low education were more likely to have infection and non-union, married were more likely to have spinal degenerative disease. Osteoarthritis was more likely among female admissions.
摘要：
非创伤性骨科疾病是涉及包括肌肉在内的肌肉骨骼系统的病理状况，肌腱,骨和关节，并与频繁的医疗和手术护理和高治疗成本相关。关于低收入和中等收入国家非创伤性骨科疾病模式的信息很少。这项研究的目的是确定肯尼亚肯雅塔国家医院住院患者非创伤性骨科疾病的流行病学。这是一项横断面研究，审查了175张图表的样本。大约,70.3％的住院患者年龄在25至64岁之间，平均年龄为39.97岁（STD18.78）。已婚的年龄往往比其他婚姻状况大53.5岁（95％CI：46.8-60.2岁）。大约,60.6%是男性，38.9％有合并症，49.1％是临时工或失业者。所有住院患者均为肯尼亚人，内罗毕县占所有住院患者的52.6％。大约,77.7%为自我推荐。最常见的非创伤骨科疾病是感染和不愈合（35.4％）和脊柱退行性疾病（20.60％），最少的是肢体畸形（1.70％）。与女性相比，男性感染和不愈合的可能性是男性的3.703倍(p<0.001)。原发性患者，中等和高等教育为88.2%(p<0.001)，75.6％（p<0.001）和68.1％（p=0.016）与没有受过学前教育的人相比，感染和不愈合的可能性较小。寡妇患脊柱退行性疾病的可能性是已婚的8.500倍（p=0.028）。男性患骨关节炎的可能性比女性低70.8%(p=0.031)。受过中等教育的住院患者患骨关节炎的可能性是没有受过教育或学前教育的患者的5.250倍（p=0.040）。总之,大多数住院病人是年轻人和中年人。感染和不愈合和脊柱退行性疾病是最常见的非创伤骨科疾病。虽然男性和受教育程度低的人更有可能感染和不结合，已婚患者更有可能患有脊柱退行性疾病。女性入院者更容易患骨关节炎。
