美国下骨折的趋势:20年的回顾性分析
Kevin Adik1, Patrick Lamb2, Mary Moran3
1Department of Anatomy and Neurobiology, Northeast Ohio Medical University, Rootstown, Ohio, USA.
概括
骨骨折,在面创伤中很常见,显示出不断变化的模式. 袭击和车祸减少,而跌倒增加,特别是在老年女性中,需要更新安全措施.
科学领域:
- 创伤外科手术是什么
- 口腔和大面部外科手术
- 公共卫生 公共卫生
背景情况:
- 骨折是大面部区域内的常见损伤.
- 了解它们发生的趋势对于有效的治疗和预防至关重要.
研究的目的:
- 分析下骨折模式的时间趋势,患者人口统计和损伤机制.
- 自2000年代初以来,确定骨折原因和位置的变化.
主要方法:
- 从国家创伤数据库对2007年,2011年和2017年的下骨折数据进行回顾.
- 分析骨折数量,性别,年龄,受伤机制 (攻击,MVC,跌倒等). ) 和解剖位置.
- 使用奇平方测试和克莱默V测试效果大小的统计比较.
主要成果:
- 大骨折占所有创伤的2%-2.5%.
- 在2007年至2017年期间,单一下骨折的发生率从82%降至63%.
- 袭击和机动车事故的原因减少,而跌倒增加,特别是在老年女性中. 平均年龄从28岁增加到32岁.
结论:
- 观察到的时间趋势与国家人口变化相关,特别是人口老龄化.
- 这些发现可以帮助临床医生进行诊断,并为公共安全政策提供信息,以减少下伤害.
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