在儿童骨骨折后与隔间综合征相关的因素
Nasim Ahmed1,2, Yen-Hong Kuo2,3
1Department of Surgery, Division of Trauma and Surgical Critical Care, Hackensack Meridian Jersey Shore University Medical Center, Neptune, New Jersey, USA.
Trauma surgery & acute care open
|November 8, 2023
概括
在骨骨折的儿童中,隔间综合征 (CS) 是一种严重的骨科紧急情况. 关键的风险因素包括年龄增加,非非裔美国人种族,以及相关的压伤或血管损伤,有助于早期识别和干预.
科学领域:
- 整形外科手术 整形外科手术
- 儿科创伤 儿童创伤
- 紧急医疗 紧急医疗
背景情况:
- 分区综合征 (CS) 是儿童骨骨折后的关键骨科紧急情况.
- 及时识别高风险患者至关重要,以尽量减少潜在的发病率.
研究的目的:
- 为了确定与儿童患者的骨骨折后CS的发展相关的重大风险因素.
- 为临床实践提供信息,以便在这个人群中早期发现和管理CS.
主要方法:
- 对2017-2019创伤质量改善计划数据库的回顾性分析.
- 包括带着骨骨折入院的儿科患者 (<18岁).
- 多变量后勤回归用于分析与CS发展有关的人口统计,损伤和相关损伤特征.
主要成果:
- 在1.1% (49/4492) 的患有骨骨折的儿科患者中,CS发生.
- 增加的年龄 (AOR=1.157),非非裔美国人种族 (AOR=2.238),压伤 (AOR=18.812) 和血管损伤 (AOR=3.509) 与CS显著相关.
- 患有CS的患者有较高的粉碎率 (2%vs0.1%) 和血管损伤率 (10.2%vs2.2%).
结论:
- 年龄,非非裔美国人种族,压伤和血管损伤是小儿骨骨折后CS的重要危险因素.
- 这些发现可以指导风险分层,并为儿科骨折提供迅速的管理策略.
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