COVID-19 流行病与儿科创伤之间的关系
Lorena Garcia1, Christian de Virgilio1, Jeffry Nahmias2
1Department of Surgery, Harbor-UCLA Medical Center, Torrance, California.
The Journal of surgical research
|April 14, 2024
概括
随着COVID-19的流行,儿科患者的穿透性创伤,包括枪伤的数量增加了. 然而,并发症和死亡率保持稳定,这表明创伤系统的有效适应.
科学领域:
- 创伤外科 手术 创伤外科
- 儿科急救医学 儿科急救医学
- 公共卫生 公共卫生
背景情况:
- COVID-19 流行病影响了医疗保健的准入,并导致成人透性创伤的增加.
- 关于大流行对儿科创伤患者 (PTP) 的影响的数据有限.
- 这项研究解决了了解与流行病相关的儿科透创伤趋势的差距.
研究的目的:
- 在COVID-19大流行期间调查PTP中穿透创伤的全国发病率.
- 为了比较疫情期间与疫情前期间的PTP的并发症和死亡率.
- 假设透性创伤率的增加以及随之而来的风险在流行后开始.
主要方法:
- 使用了2017-2020创伤质量改善计划数据库,用于儿科创伤患者 (≤17岁).
- 将数据分为流行病前 (2017-2019) 和流行病 (2020) 时代进行分析.
- 对透的PTP进行了双变量和多变量后勤回归分析.
主要成果:
- 大流行年 (2020年) 占474,524个PTP总数中的26.1%.
- 疫情期间观察到刺伤 (3.3%对比2.8%) 和枪伤 (5.5%对比4.0%) 的增加率.
- 透的PTP在两个时期之间显示了类似的住院并发症 (2.6%对2.8%) 和死亡率 (4.9%对5.0%).
结论:
- 在COVID-19大流行开始后,确认儿科穿透创伤,特别是枪伤的增加.
- 在大流行期间,没有发现透PTP的死亡或并发症风险增加.
- 表明创伤系统成功地适应了COVID-19的双重挑战,并增加了儿科患者的枪支暴力.
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