国家数据库分析:寒冷的天气是否会影响5岁以下儿童部发育性形的手术干预率?
Samantha L Ferraro1, Anthony K Chiu1, B Tanner Seibold1
1Orthopaedic Surgery, George Washington University School of Medicine and Health Sciences, Washington DC, USA.
Cureus
|April 12, 2024
概括
在寒冷的气候下出生的婴儿可能面临更高的部发育性形 (DDH) 风险,需要更多的手术干预. 这项研究将寒冷的冬季温度与5岁以下儿童的DDH手术率的增加联系在一起.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科 儿科 儿科
- 环境健康 环境健康
背景情况:
- 婴儿早期暴露于寒冷天气可能与部发育性形 (DDH) 的延迟诊断有关.
- 早期发现DDH对于非手术治疗的成功至关重要.
研究的目的:
- 为了调查部发育性形 (DDH) 手术干预率是否根据冬季平均室外温度而有所变化.
- 分析地理区域,冬季温度和DDH的手术治疗之间的关联.
主要方法:
- 一项回顾性观察性研究分析了2010年至2021年间诊断的DDH患者的国家行政数据库.
- 根据冬季平均温度,患者 (≤5岁) 被分为五个地理区域.
- 在这些温度定义区域中,与DDH相关的手术干预率进行了比较.
主要成果:
- 总共有55,911名DDH患者被纳入分析.
- 与最温暖的地区相比,最寒冷的地区 (平均冬季温度为 -6.17°C) 的开放性减少,加器切割,大腿骨切割,骨盆骨切割和总DDH手术的发生率显著更高.
- 具体来说,最冷地区的DDH手术总数为11.42%,最热地区为5.03%.
结论:
- 居住在寒冷气候地区 (冬季平均温度为 -6.17°C) 的儿童在生命的头五年内需要进行DDH手术的可能性增加.
- 婴儿时期的环境温度可能是导致部发育性硬化症的严重程度和治疗途径的一个因素.
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