影响儿科狗咬患者住院时间和复杂性的因素
Dominic Alessio-Bilowus1,2, Nishant Kumar2, Lydia Donoghue1,2
1Department of Surgery, Wayne State University School of Medicine, Detroit, Michigan, USA.
Trauma surgery & acute care open
|August 2, 2023
概括
患有骨折的儿科狗咬伤,特别是长骨折,预测了更长的住院时间和更多的并发症. 早期发现伤口感染对于儿童的更好的治疗结果至关重要.
科学领域:
- 儿科创伤儿童创伤
- 动物咬伤的流行病学
- 伤口愈合和感染.
背景情况:
- 狗咬伤伤害是美国疾病和开支的重要原因,住院率不断上升.
- 儿童比成年人面临更高的狗咬伤风险,但影响其医院病程的因素尚未得到充分研究.
- 现有的文献缺乏关于儿科狗咬伤伤害结果的全面数据.
研究的目的:
- 探索与延长停留时间 (LOS) 相关的因素.
- 为了确定更复杂的医院过程的预测因素.
- 为了检查儿科狗咬患者的出院后回归率.
主要方法:
- 对2016年1月至2021年5月因狗咬伤而入院的儿科患者的回顾性评估.
- 纳入标准:通过创伤登记册识别的住院治疗的患者.
- 分析的变量:入院前,入院期间和出院后的因素.
主要成果:
- 骨折 (平均LOS为5.3天而不是2.5天) 和先前的医疗并发症 (4.3天而不是2.8天) 预测增加了LOS.
- 骨折与更高的术后并发症 (16%对5.6%) 和复发率 (13%对2.0%),主要是由于伤口感染.
- 与面部骨折相比,长骨折的LOS和并发症率较高.
结论:
- 儿科狗咬伤中的长骨折可能是潜在伤口感染的低估来源.
- 这些感染与延迟呈现的负面结果有关,包括再接收.
- 提高认识可以导致更早的检测和改善这一群体感染的管理.
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