乳腺创伤:2016年至2019年的美国流行病学研究
Matthew Hager1, Aparajita Spencer1, Adam Wegener1
1General Surgery, Novant Health New Hanover Regional Medical Center, Wilmington, USA.
Cureus
|January 11, 2024
概括
创伤性乳房擦伤和伤表明创伤患者的重症监护病房 (ICU) 入院率较高,受伤严重程度得分 (ISS) 较高,与开放的乳房伤口相比,死亡率增加.
科学领域:
- 创伤外科手术是什么
- 紧急医疗 紧急医疗
- 临床研究是临床研究.
背景情况:
- 乳房创伤是多创伤患者未被认可的损伤.
- 女性患者特别容易受到乳房创伤的影响.
- 了解乳腺损伤模式对于患者的治疗结果至关重要.
研究的目的:
- 在国家创伤数据中确定乳腺损伤的患病率.
- 评估乳腺损伤类型与损伤严重程度评分 (ISS) 之间的关联.
- 评估多创伤患者乳腺创伤的预后意义.
主要方法:
- 从2016-2019年对国家创伤数据库 (NTDB) 的回顾性审查.
- 分析国际疾病分类 (ICD) 对乳房擦伤,伤和开放伤口的代码.
- 使用克鲁斯卡尔-瓦利斯和千二测试进行统计分析.
主要成果:
- 乳房擦伤和伤与较高的ICU入院率 (23.8%和25.3%) 与开放性伤口 (13.6%) 有关.
- 患有擦伤/伤的患者比患有开放伤口的患者有显著更高的ISS (9).
- 与开放伤口 (11%) 相比,擦伤 (15%) 和伤 (14%) 的死亡率较高.
结论:
- 创伤性乳房擦伤和伤与比开放的乳房伤口更糟糕的结果有关.
- 这些伤害与急症监护室入院率的增加,更高的ISS和更高的死亡率相关.
- 乳腺创伤的严重程度是创伤评估中的一个重要的预后指标.
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