长骨骨折中的儿科急性隔间综合征:谁有风险?谁有风险?
Sai Krishna Bhogadi1, Khaled El-Qawaqzeh1, Christina Colosimo1
1Division of Trauma, Critical Care, Burns, and Emergency Surgery, Department of Surgery, College of Medicine, University of Arizona, Tucson, Arizona.
The Journal of surgical research
|April 3, 2024
概括
儿科急性隔间综合征 (ACS) 的危险因素包括年龄的增加,男性性别和特定的骨折类型. 对四肢骨折的手术固定延迟显著增加了儿童发展ACS的几率.
科学领域:
- 整形外科手术 整形外科手术
- 儿科创伤 儿童创伤
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 关于儿科急性隔间综合征 (ACS) 预测因素的有限大规模数据存在.
- 关于操作固定时间和ACS风险的文献是相互矛盾的.
- 这项研究旨在确定与儿科ACS相关的因素.
研究的目的:
- 为了确定儿科急性隔间综合征 (ACS) 的预测因素.
- 分析手术固定时间和儿科四肢骨折中ACS风险之间的关系.
主要方法:
- 对2017-2019创伤质量改善计划数据库的分析.
- 包括患有上肢和下肢骨折的儿科患者 (<18岁).
- 多变量回归分析以确定ACS预测因子.
主要成果:
- 下肢 (LE) 骨折的ACS率为0.5%;上肢 (UE) 骨折的ACS率为0.16%.
- 预测因素包括年龄较大,男性性别,严重伤害机制,断裂/开口骨折和手术固定.
- 操作固定的每小时延迟都会使调整后的ACS几率增加0.4% (P < 0.05).
结论:
- 这些发现可以帮助临床医生识别患有ACS风险的儿童.
- 需要进一步研究儿科长骨骨折的最佳手术固定时间,以减轻ACS风险.
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