在越过美墨边境时跌倒后,脊椎受伤持续
Hannah R Riva1,2, Michael M Polmear3, Cyrena Petersen1
1Paul L. Foster School of Medicine, El Paso, Texas, USA.
Neurotrauma reports
|April 24, 2024
概括
边境过境时,从很高的地方落往往会导致严重的脊柱损伤,特别是在女性身上. 较高的跌倒与增加的伤害严重程度,更长的住院时间和更大的手术需求有关.
科学领域:
- 创伤外科 手术 创伤外科
- 整形外科手术 整形外科手术
- 公共卫生 公共卫生
背景情况:
- 涉及从相当高处落的边境过境,带来了独特的创伤挑战.
- 在这个高风险人群中,脊柱损伤是一个关键问题.
研究的目的:
- 分析边境过境期间从高处摔倒的患者脊柱损伤的人口统计,发病率和模式.
- 确定与脊柱损伤严重程度和治疗结果相关的因素.
主要方法:
- 一个I级创伤中心的回顾性队列研究 (2016年1月 - 2021年12月).
- 纳入标准:在越过美墨边境时从相当高处落后入院的患者.
- 数据分析包括人口统计,受伤模式,受伤严重程度得分 (ISS) 和停留时间 (LOS).
主要成果:
- 448名患者中有117名患者 (26.2%) 患有脊柱损伤;39名患者 (33.3%) 需要手术固定.
- 女性的脊柱损伤发生率更高 (60%vs. 40%).
- 较高的跌幅 (中位数为6.1米而不是4.6米) 与脊柱损伤严重程度 (ISS) 的增加,较长的LOS和更高的手术率有关.
- 手术后的脊椎损伤与更高的ISS,更长的ICU LOS以及头部和胸部损伤的发病率增加有关.
结论:
- 边境过境时从高处落导致严重的多创伤,脊柱损伤很常见.
- 较高的跌落高度预示着更严重的脊髓损伤和更糟糕的结果.
- 脊椎外科医生和神经临床护理团队必须为这种特定的人群中的这些复杂损伤做好准备.
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