ABSTRACT
Aim Patients' perspectives on their condition and treatment, their sense of need for healthcare, and their preferences for care and outcomes are all addressed by quality of life metrics. Therefore, it is important to all health professionals and patients involved in orthopedic surgery. This study aimed to evaluate the quality of life after orthopedic procedures and how its results could potentially be used for future improvement. Methods This is a cross-sectional study conducted among patients who underwent orthopedic procedures at Buraydah Central Hospital (BCH) and King Fahad Specialist Hospital (KFSH). A self-administered questionnaire was distributed among the patients using a paper questionnaire. The questionnaire was composed of socio-demographic data (e.g. age, gender, education, etc.) and the 36-Item Short Form Survey (SF-36) to measure patients' quality of life. Results In this study, 215 patients were able to complete the survey (male 82.3% vs female 17.7%). The most common age group was 18 to 30 years old (30.2%) and the most common surgery performed on patients was thigh surgery (19.5%) and hand surgery (13%). The overall mean physical health score after the surgery was 51.1 (SD 11.8) higher than the mental health score (mean 47.7; SD 11.2). Poor quality of life was significantly more common among patients with chronic disease while poor physical functioning and general health subdomains were more associated among patients who underwent hand surgery. Conclusion Patients suffering from chronic diseases tend to exhibit a low quality of life as compared to other patients. The quality of life after the surgery is an important indicator of patient satisfaction which may have a direct impact on the future outlook of a patient. More research is needed to determine the overall quality of life in patients who underwent a surgical procedure in our region.
ABSTRACT
Introduction A bone fracture is a medical condition in which there is a partial or complete break in the continuity of the bone. One of the factors causing bone fractures is Road Traffic Accidents (RTAs), which is the first leading cause of death among people aged 15-29 years. This study aimed to determine the incidence of bone fractures among RTAs in Buraidah Central Hospital and to identify associations between gender, age, and fractures. Materials and methods This is a retrospective study and review of patients' medical records in Buraidah Central Hospital, of those who had an RTA in 2018 and 2019. The information taken included age, gender, and type of fracture. All patients with RTAs in the period between January 2018 and October 2019 were recruited and data were collected from patients' medical records. The data analysis was carried out using Statistical Packages for Software Sciences (SPSS) version 21 (SPSS, Chicago, IL, USA). Results There were 301 incidences of RTAs with fractured bones presented at Buraidah Central Hospital during the study period. Bilateral or multiple was the most commonly known sites of fractures. We also observed that the most commonly fractured bone among males was the femur (28.2%) while a humerus fracture was the most common among females (20.8%). Males were significantly higher in the younger age group (p<0.001). Additionally, the radius shaft was more associated with the younger age group (p=0.043) while the femur was more associated with the oldest age group (p=0.013). Conclusion Femur fractures were the most commonly known fractures among males while a humerus fracture was the most common fracture among females. In males, a fractured radius shaft and a fractured femur were the factors most associated with the age group.
