儿童胸骨折 - - 记住胸骨:对ACS-TQIP数据库的回顾性分析
Anthony di Natale1, Allison L Mak, Rosa Hwang
1From the Division of Pediatric General, Thoracic and Fetal Surgery, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
The journal of trauma and acute care surgery
|January 26, 2024
概括
患有胸椎骨折 (TVF) 和胸骨折 (SF) 的儿科患者面临更高的风险. 这种由高能量创伤造成的伤害组合与增加的发病率和死亡率有关.
科学领域:
- 整形外科 整形外科 整形外科
- 创伤外科 手术 创伤外科
- 儿科手术 儿科手术
背景情况:
- 胸骨对于胸椎脊柱的稳定性至关重要.
- 骨骨折 (SF) 可能与胸椎骨折 (TVF) 一起发生.
- 了解并发性SF对TVF患者的影响很重要.
研究的目的:
- 研究同时发生的胸椎骨折 (SF) 对患有胸椎骨折 (TVF) 的儿科患者的治疗和住院过程的影响.
主要方法:
- 追溯审查创伤质量改善计划 (TQIP) 2016-2020年的数据.
- 确定的儿科患者 (0-19岁) 患有不的创伤性TVF,有或没有SF.
- 排除了横向/脊椎过程骨折或不完整数据的患者;分析了人口统计,损伤机制,临床变量,程序,ICU入院,LOS和死亡率.
主要成果:
- 在13434名确诊的患者中,788人患有TVF与并发SF (TVF + SF).
- TVF + SF患者的中位数伤害严重性得分 (17 vs. 12),较长的LOS (5 vs. 3天) 和死亡率增加 (5.6% vs. 2.3%).
- 脊髓损伤,手术治疗和ICU入院在TVF + SF组中更为频繁.
结论:
- 同时的SF发生在7%的儿科TVF患者中.
- 这种损伤模式与显著增加的发病率和死亡率有关.
- 这种组合表明能量传输和伤害潜力更大.
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