与骑自行车相关的儿科骨折:全国20年分析
William H Huffman1, Radhika Gupta1, Steven R Ayotte1
1Perelman School of Medicine at the University of Pennsylvania.
Journal of pediatric orthopedics
|October 6, 2023
概括
儿童骑自行车骨折在全国范围内减少,但仍然令人担忧. 大多数骨折发生在男性身上,机动车撞人 (MV) 的住院率更高,许多头骨骨折发生在没有头盔的儿童身上.
科学领域:
- 儿科整形外科 儿科整形外科
- 公共卫生 公共卫生
- 创伤外科 手术 创伤外科
背景情况:
- 骑自行车是一种常见的儿童活动,具有固有的受伤风险.
- 提倡使用防护设备,但儿童骑自行车相关骨折的国家趋势未得到充分研究.
研究的目的:
- 分析与骑自行车相关的儿科骨折的国家趋势.
- 在这个人群中识别风险因素和受伤模式.
主要方法:
- 从2001年到2020年使用国家电子伤害监测系统 (NEISS) 数据库.
- 分析患者叙述以确认积极骑自行车,注意使用头盔,并识别机动车辆 (MV) 碰撞.
- 包括18岁或更年轻的患者到美国急诊室.
主要成果:
- 从2001年到2020年,估计有1,007,714例儿科骨折发生,并观察到明显的下降趋势.
- 前臂,手腕和肩膀骨折是最常见的.
- 受重力车袭击的患者住院的可能性增加了6倍以上;大多数头骨骨折发生在没有头盔的儿童身上.
结论:
- 尽管儿童骑自行车骨折的数量有所减少,但仍然是一个重要的公共卫生问题.
- 机动车碰撞增加了住院的风险,不使用头盔与严重的头部伤害有关.
- 建议继续推广使用头盔和更安全的骑行环境,特别是对于10-15岁的男性.
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