转移的下骨折很少需要急性干预
Damon R T McIntire1, Carole S L Spake1, Charles C Jehle1
1Division of Plastic and Reconstructive Surgery, The Warren Alpert Medical School of Brown University, Providence, RI, United States.
Craniomaxillofacial trauma & reconstruction
|February 19, 2024
概括
孤立下骨折的紧急转移到三级护理往往是不必要的,因为大多数病例可以在门诊治疗. 然而,儿科和开放性骨折受益于专门的评估和转移.
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
- 口腔和牙面部外科手术
背景情况:
- 骨折是常见的创伤性损伤,需要专门的手术管理.
- 患有这些伤害的患者经常被转移到第三级护理中心.
- 对于下骨折的新兴介质转移的必要性和益处需要评估.
研究的目的:
- 评估下骨折患者紧急转移的好处和必要性.
- 确定最受益于转移到专门创伤中心的患者子组.
主要方法:
- 在一级创伤中心治疗的406名下骨折患者的回顾性评估 (2017年1月至2020年5月).
- 收集的数据包括人口统计,损伤机制,呈现类型,治疗和干预时间.
- 统计分析包括描述性统计,t测试,费舍尔的精确测试,奇平方测试和多变量回归.
主要成果:
- 36% (145/406) 的患者从外部医院转移.
- 只有一个病人需要急诊室的干预.
- 转移过的患有开放性伤害的患者和儿科患者从转移中获得了好处,其中5.5%的患者接受了手术管理.
结论:
- 大多数孤立的下骨折不需要紧急转移到三级护理机构,可以在门诊基础上进行管理.
- 对于这些伤害而言,急性设施间转移代表着相当大的,往往不必要的医疗保健费用.
- 儿科患者和那些有开放骨折的患者需要紧急转移,以便进行专门的评估和管理.
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