背景:社交媒体是寻求医疗信息和分享经验的患者的热门资源。髋臼周围截骨术(PAO)是一种可接受的有症状的髋臼发育不良的治疗方法,在专业中心公开的并发症发生率较低。关于PAO后患者在社交媒体上报告并发症的情况知之甚少。这项研究的目的是描述在社交媒体上发布的患者感知的PAO并发症,并分析其他因素(术后时间框架,伴随手术)与这些并发症相关。
方法:从02/01/18-02/01/23查询Facebook和Instagram;搜索Twitter的范围扩大到02/01/11。Facebook帖子(1054)是从两个人口最多的兴趣小组收集的;“髋臼周围截骨术”和“PAO澳大利亚”。\“发现Instagram帖子(1003)和推文(502)使用相同的五个最受欢迎的标签:#PAOwarrior,#髋臼周围截骨术,#髋臼周围骨髓手术,#PAO外科,和#PAOrecovery。对人口统计数据进行了评估,透视,时机(术后早期或术后晚期),额外的手术,并发症的类型,后参与。
结果:Facebook帖子(1054),Instagram帖子(1003),和Tweets(502)进行了评估;13.6%的帖子包括并发症。据报道,大多数并发症发生在术后6个月以上,过度疼痛是最常见的并发症(57.2%)。包括慢性疼痛(41.8%),急性疼痛(6.7%),神经疼痛(8.8%)。骨性并发症(6.7%),神经/精神并发症(3.8%),肿胀(1.7%),感染(1.4%),其他特定并发症(16.2%),报告了未指明的并发症(10.2%).发现并发症与术后时间范围和伴随手术相关。并发症相关岗位的参与减少。
结论:很少有患者发现与PAO手术相关的并发症。在那些做过的人中,大多数患者报告在术后后期疼痛难以控制.发现包括感知到的并发症的帖子与术后时间框架呈正相关,而与伴随手术呈负相关。这项研究发现较高的疼痛并发症发生率,但总体并发症发生率低于之前的研究.考虑到社交媒体报道的PAO患者的并发症,除了传统的结局指标外,还揭示了术后恢复的哪些方面对患者本身最重要。
BACKGROUND: Social media is a popular resource for patients seeking medical information and sharing experiences. Periacetabular osteotomy (PAO) is an accepted treatment for symptomatic acetabular dysplasia with a low published complication profile in specialty centers. Little is known regarding patient reporting of complications on social media following PAO. The purpose of this
study was to describe the patient-perceived complications of PAO posted on social media and analyze how additional factors (postoperative timeframe, concomitant surgery) correlate with these complication posts.
METHODS: Facebook and Instagram were queried from 02/01/18-02/01/23; Twitter was searched over an extended range back to 02/01/11. Facebook posts (1054) were collected from the two most populated interest groups; \"Periacetabular Osteotomy\" and \"PAO Australia.\" Instagram posts (1003) and Tweets (502) were found using the same five most popular hashtags: #PAOwarrior, #periacetabularosteotomy, #periacetabularosteotomysurgery, #PAOsurgery, and #PAOrecovery. Posts were assessed for demographic data, perspective, timing (early postoperative or late postoperative), additional surgeries, type of complication, and post engagement.
RESULTS: Facebook posts (1054), Instagram posts (1003), and Tweets (502) were assessed; 13.6% of posts included a complication. The majority of complications were reported > 6 months postoperatively with excessive pain being the most common complication (57.2%), including chronic pain (41.8%), acute pain (6.7%), and nerve pain (8.8%). Bony complications (6.7%), neurologic/psychiatric complications (3.8%), swelling (1.7%), infection (1.4%), other specified complications (16.2%), and unspecified complications (10.2%) were reported. Complication posts were found to be correlated with postoperative timeframe and concomitant surgery. Post engagement decreased in complication-related posts.
CONCLUSIONS: Few patients posted a perceived complication associated with PAO surgery. Of those who did, the majority reported unmanageable pain during the late postoperative period. Posts including a perceived complication were found to be positively correlated with postoperative timeframe and negatively correlated with concomitant surgery. This
study found a higher pain complication rate, but a lower overall complication rate compared to prior studies. Considering the social media reported complications of PAO patients in addition to traditional outcome measures reveals which aspects of postoperative recovery are most important to patients themselves.