与幼儿创伤复发相关的因素
Caroline Q Stephens1, Caroline G Melhado, Amy M Shui
1From the Division of Pediatric Surgery (C.Q.S., C.G.M., A.Y., W.M., A.R.J., C.N.), UCSF Benioff Children's Hospitals; Department of Surgery (C.Q.S., C.G.M., A.Y., W.M., A.R.J., C.N.), and Department of Epidemiology and Biostatistics (A.M.S.), University of California, San Francisco, San Francisco, California.
The journal of trauma and acute care surgery
|January 8, 2024
概括
经历创伤的幼儿有重复受伤的风险. 医疗问题,年轻年龄,跌倒和受伤位置是10岁以下儿童创伤复发的关键因素.
科学领域:
- 儿科创伤研究儿童创伤研究
- 伤害流行病学 伤害流行病学
- 公共卫生 公共卫生
背景情况:
- 创伤复发与增加的发病率和死亡率有关.
- 社会经济因素预测较大的儿童 (10-18岁) 复发.
- 在较小的儿童 (≤10岁) 中,创伤复发的危险因素仍未得到充分研究.
研究的目的:
- 确定与10岁及以下儿童创伤复发相关的因素.
- 为年轻创伤患者提供有针对性的伤害预防策略.
主要方法:
- 从2017年7月到2021年6月,对儿科创伤患者 (≤10岁) 的回顾性队列研究.
- 收集了指数伤害特征,先前伤害史和地理编码的社会脆弱性指数的数据.
- 后勤回归和最佳子集选择用于识别复发的预测因素 (p < 0.05).
主要成果:
- 在3518名儿科创伤患者中,4.8%的患者先前经历过伤害.
- 与并发病,年轻,跌倒,受伤位置,非转移状态和种族化相关的复发.
- 没有发现重犯与社会脆弱性指数或保险状况之间有显著的关联.
结论:
- 医学并发症,年轻年龄,受伤位置和跌倒是儿童创伤复发的主要因素.
- 建议有针对性的伤害预防计划,支持幼儿的父母和有特殊医疗需求的父母.
- 研究结果强调需要有针对性的干预措施,以减少弱势年轻人群中重复创伤的发生.
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