与儿童近乎悬挂相关的受伤模式和死亡率
Jillian K Gorski1, Craig M Smith2, Sriram Ramgopal1
1Division of Emergency Medicine, Department of Pediatrics, Ann and Robert H. Lurie Children's Hospital, 225 E. Chicago Ave, Chicago, IL 60611, USA.
The American journal of emergency medicine
|November 4, 2023
概括
脑血管损伤和椎脊椎损伤在儿科近悬事件中很罕见,并且不会增加死亡风险. 大脑是最常见的损伤,在这些情况下,它具有最高的死亡风险.
科学领域:
- 儿科急救医学 儿科急救医学
- 创伤外科 手术 创伤外科
- 神经学 神经学
背景情况:
- 由于独特的解剖学和生理学因素,儿童的近悬浮病理生理学与成年人不同.
- 脑血管损伤 (BCVI) 和椎脊椎损伤 (CSI) 在儿科近悬症病例中被认为是不常见的.
研究的目的:
- 为了估计儿科近悬挂受害者中二次伤害的发生率.
- 在这个人群中确定二次伤害和死亡率之间的关联.
主要方法:
- 从2015年10月到2023年2月,美国47家儿童医院对1929名儿童 (≤17岁) 进行了回顾性观察研究.
- 评估二次损伤,包括脑,肺胸,肺,BCVI和CSI.
- 使用费舍尔精确测试与邦费罗尼校正进行统计分析,以评估与死亡率的关联.
主要成果:
- 大脑是最常见的损伤 (24.0%),其次是肺 (3.2%) 和肺胸部 (2.8%).
- CSI (2.1%) 和BCVI (0.9%) 是不常见的.
- 大脑,肺胸,肺和年轻年龄 (≤12岁) 与死亡率有显著的关联.
结论:
- 儿科近悬症中BCVI和CSI很少见,与死亡率无关.
- 大脑是最常见的损伤,并携带最高的死亡风险.
- 部成像的选择性方法可能适用于儿童近悬挂受害者,因为BCVI和CSI的发病率很低.
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