环球创伤与澳大利亚高等中心的跌倒相关
Christopher Bartimote1,2, Annette K Hoskin2,3,4, Clare L Fraser1,2
1Department of Ophthalmology, Sydney and Sydney Eye Hospital, Sydney, New South Wales, Australia.
Emergency medicine Australasia : EMA
|August 24, 2023
概括
跌倒通常会导致眼睛和眼受伤,特别是在老年人中. 涉及落的年轻人经常有物质使用问题,突出了创伤病例需要全面的眼科检查的需要.
科学领域:
- 眼科医生 眼科 眼科
- 创伤外科 手术 创伤外科
- 老年病的医生 老年病的医生
背景情况:
- 跌倒是全球和关外伤的重要原因,特别影响老年人群.
- 这种创伤可能导致信心,独立性和整体生活质量下降.
研究的目的:
- 为了增强对落造成的全球和副外伤的理解.
- 调查眼科在两个主要创伤中心管理这些伤害中的作用.
主要方法:
- 对于2015年1月至2019年12月期间因跌倒相关的地球球和/或副外伤入院的患者进行了医疗记录的回顾性审查.
- 国际疾病分类第十次修订代码用于患者识别,提取了人口统计数据,创伤特征,眼科检查结果和眼科转诊的数据.
主要成果:
- 在346名患者中,125名 (36%) 患有持续的全球创伤,其中48名 (14%) 被归类为严重. 平均年龄为76岁.
- 老年患者 (65岁以上) 经常有多种跌倒的风险因素. 酒精和非法物质的使用与20%的跌倒有关,主要是年轻人.
- 在患有同时存在轨道/面部中部骨折的患者中,球体创伤的发生率明显高 (55%对36%,P<0.001).
结论:
- 与跌倒相关的全球和附带创伤不成比例地影响老年人,而物质使用是年轻人群中的一个因素.
- 对于所有面部中部或轨道创伤的患者来说,彻底的眼部评估至关重要,以排除全球损伤.
- 需要进一步的研究来评估防摔策略在减轻全球创伤方面的有效性.
相关概念视频
01:24Flail Chest-I
216
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
216
01:26Flail Chest-II
202
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
202