与已确认的骨折相关感染的发展相关的因素
Sara Solasz1, Lauren Merrell, Abhishek Ganta
1NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY.
Journal of orthopaedic trauma
|August 17, 2023
概括
较高的BMI,黑人或西班牙裔种族以及物质使用与骨折相关感染 (FRI) 有关. 下肢骨折也会增加FRI的风险. 了解这些因素有助于预防策略.
科学领域:
- 整形外科手术 整形外科手术
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 骨折相关感染 (FRI) 是骨折固定手术后的一个重要并发症.
- 识别风险因素对于制定有效的预防和管理策略至关重要.
- 以前的研究已经探讨了各种因素,但需要进行全面的分析.
研究的目的:
- 确定与FRI发展相关的人口,受伤相关和治疗相关的因素.
- 确定手臂,肩膀和骨盆骨折进行手术修复的患者中FRI的特定风险因素.
主要方法:
- 在一个学术医疗中心进行的回顾性研究.
- 分析包括患有外周四肢,肩膀和骨盆腰带骨折的患者,这些患者接受了手术修复.
- 统计方法包括千平方,费舍尔精确测试,ANOVA,t测试和二项逻辑回归.
主要成果:
- FRI队列包括193名患者,其中很大一部分患者患有伤口破损或鼻道.
- 与FRI发展相关的因素包括更高的体重指数 (BMI),黑人和西班牙裔种族,更高的美国麻醉学会 (ASA) 类,以及烟草,酒精和药物使用史.
- 下肢骨折 (脚,骨,股骨/骨盆) 和在城市一级创伤中心的治疗也被确定为FRI的积极预测因素.
结论:
- 较高的BMI,特定的种族/族群 (黑人,西班牙裔),较高的ASA类和物质使用是FRI的重要风险因素.
- 下肢骨折,特别是脚部,骨和股骨/骨盆骨折,与FRI的风险增加有关.
- 这些发现凸显了针对高风险患者群体和骨折类型进行有针对性的干预和提高警的必要性.
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