与非致命的儿科枪支伤害相关的功能障碍
Caroline G Melhado1, Travis M Sullivan2, Caroline Q Stephens1
1Division of Pediatric Surgery, University of California-San Francisco Benioff Children's Hospitals, and Department of Surgery, University of California-San Francisco, CA.
Surgery
|June 10, 2023
概括
儿童枪支伤害在儿童幸存者中导致显著的功能障碍. 许多儿童经历了持久的轻度损伤,强调了解决这一公共卫生危机的必要性.
科学领域:
- 儿科创伤外科手术 儿科创伤手术
- 公共卫生 公共卫生
- 儿童伤害预防儿童伤害预防
背景情况:
- 枪支伤害是美国儿童死亡的主要原因.
- 儿科枪支伤害幸存者的功能性发病率是一个重大的公共卫生问题.
- 量化儿科枪支伤害幸存者的功能障碍至关重要.
研究的目的:
- 评估儿童枪支伤害幸存者的功能障碍的流行程度和性质.
- 通过功能状态量表来量化功能性发病率.
- 为了评估在解除和后续的功能状态.
主要方法:
- 对儿童 (0-18岁) 以枪支伤害治疗的回顾性队列研究.
- 来自2个城市一级儿科创伤中心 (2014-2022) 的数据分析.
- 使用功能状态尺度 (FSS) 评估功能障碍在离院和随访时.
主要成果:
- 分析了282名儿童的队列,其中7%的住院死亡率.
- 功能障碍 (FSS ≥8) 在出院时观察到9%和随访时观察到7%.
- 轻度损伤 (FSS = 7) 是常见的 (42%在出院时) 并且经常持续 (67%在随访时).
结论:
- 功能障碍在儿童枪支伤害幸存者中很常见.
- 功能状态等非死亡指标对于评估儿科枪支伤害负担至关重要.
- 考虑死亡率和功能性发病率对于倡导儿童保护资源至关重要.
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