肥胖的青少年在摔倒后患下肢严重骨折的风险更高
Nicolas Gonzalez1, Jeffry Nahmias1, Sebastian Schubl1
1Irvine Medical Center, Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, University of California, 3800 Chapman Ave, Suite 6200, Orange, CA, 92868-3298, USA.
Pediatric surgery international
|July 19, 2023
概括
肥胖的青少年在跌倒后出现下肢骨折的风险明显更高. 这包括任何和严重的骨折,无论跌倒类型.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科 儿科 儿科
- 公共卫生 公共卫生
背景情况:
- 关于肥胖与青少年跌倒后下肢骨折之间的联系的报告不一致.
- 肥胖可能会增加青少年人口下降后骨折的风险.
研究的目的:
- 研究肥胖与青少年跌倒后下肢骨折发生率之间的关联.
- 为了比较肥胖青少年和非肥胖青少年之间的骨折风险.
主要方法:
- 一个国家数据库被查询了涉及12-17岁青少年的跌倒事件.
- 肥胖青少年 (BMI ≥30) 与非肥胖青少年 (BMI <30) 相比较.
- 主要结局是下肢骨折的发生.
主要成果:
- 肥胖的青少年占20264例跌倒病例中的12.5%.
- 肥胖青少年的任何下肢骨折的发生率显著更高 (51.5%与30.7%,p < 0.001).
- 调整后的分析显示,在肥胖的青少年中,任何 (OR 2.41) 和严重 (OR 1.31) 下肢骨折的风险都更高,不管跌倒的类型 (地面或高度).
结论:
- 肥胖是导致青少年下跌后下肢骨折的重要危险因素.
- 医疗保健提供者应保持在下肢骨折的高怀疑指数,在肥胖的青少年下降后呈现.
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