背景:2019年冠状病毒病(COVID-19)在全球范围内迅速传播并造成更多痛苦。全髋关节置换术(THA)患者腹股沟疼痛加重与COVID-19的关系尚不清楚。本研究旨在评估COVID-19后短期THA患者腹股沟疼痛加重的风险。
方法:在2020年至2022年之间,纳入了129例受COVID-19影响的THA患者。随访期间进行了简短的标准化问卷,以询问SARS-COV-2发病前后腹股沟疼痛的加重情况。此外,我们评估了疼痛增加与各种因素之间的潜在关联,包括年龄,性别,身体质量指数,诊断,和住院时间。
结果:病例交叉研究显示,当比较COVID-19后8周和COVID-19前12周时,腹股沟酸痛加重的风险增加(相对风险[RR],9.5;95%置信区间[CI],2.259-39.954)。对于COVID-19阳性患者,多变量分析显示,住院时间是与腹股沟疼痛加重风险增加显著相关的独立因素(赔率比[OR],1.26;95CI,1.03-1.55,p=0.027)。
结论:这项研究证实了COVID-19与THA患者腹股沟区酸痛加重之间的关系,延长住院时间是一个可能的促成因素。这项研究通过调查COVID-19后THA患者腹股沟疼痛加重的风险,扩大了目前的文献,为这一特定人群的术后结局提供了有价值的见解。本回顾性研究获得上海市总医院机构审查委员会批准(No.2023-264)。
BACKGROUND: The coronavirus disease 2019 (COVID-19) rapidly spreads worldwide and causes more suffering. The relation about the aggravation of inguinal pain and COVID-19 was unclear in patients with total hip arthroplasty (THA). This study aimed to evaluate the risk of
groin pain aggravation in short-term THA patients after COVID-19.
METHODS: Between 2020 and 2022, 129 patients with THA who were affected COVID-19 were enrolled. A short-standardized questionnaire was administered during follow-up to inquire about the aggravation of
groin ache before and after SARS-COV-2 affection. Furthermore, we evaluated the potential association between the presence of increased pain and various factors, including age, gender, body mass index, diagnosis, and length of hospital stay.
RESULTS: The case-crossover study revealed an increased risk of inguinal soreness aggravation when comparing 8 weeks after COVID-19 with 12 weeks before COVID-19 (Relative risk [RR], 9.5; 95% Confidence intervals [CI], 2.259-39.954). For COVID-19 positive patients, multivariate analysis showed length of stay was an independent factor significantly associated with increased risk of aggravation of
groin pain (Odds ratio [OR], 1.26; 95%CI, 1.03-1.55, p = 0.027).
CONCLUSIONS: This study confirms the association between COVID-19 and the exacerbation of soreness in the
groin region in THA patients and extended length of stay is a possible contributing factor. This study expands the current literature by investigating the risk of aggravation of inguinal pain in patients with THA after COVID-19, providing valuable insights into postoperative outcomes in this specific population. Trial registration This retrospective study was approved by the Institutional Review Board of Shanghai general hospital (No.2023-264).