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1级创伤中心的儿科开放骨折:一项为期10年的流行病学研究
Maheshi P Wijesekera1,2, Patrick Foster3, Peter V Giannoudis3,4
1Department of Trauma and Orthopaedics, Leeds Teaching Hospitals Trust, Leeds, UK. maheshi.wijesekera@doctors.org.uk.
概括
儿科公开骨折在青少年男性中更为常见,特别是来自社会贫困地区的青少年男性. 虽然发病率正在下降,但这些严重的伤害需要注意.
科学领域:
- 整形外科手术 整形外科手术
- 儿科创伤 儿科创伤
- 流行病学 流行病学
背景情况:
- 关于儿科开放骨折的数据有限.
- 之前的研究集中在一般的儿科骨折.
- 了解儿童的开放骨折流行病学至关重要.
研究的目的:
- 调查儿童开口骨折的趋势,损伤机制和严重程度.
- 对儿科开放骨折进行流行病学研究.
- 确定与这些伤害相关的人口和社会经济因素.
主要方法:
- 从2013年到2023年对儿科公开骨折 (≤16岁) 的回顾性分析.
- 排除了面,胸部和远端骨骨折.
- 使用多重贫困指数 (IMD) 计算社会贫困的发生率和评估.
主要成果:
- 发现了208个开口骨折;男性74.6%,中位数年龄为11岁.
- 道路交通碰撞 (35.1%) 和体育/游戏 (21.6%) 是主要的机制.
- 半径/部 (38.0%) 和骨/骨 (34.1%) 是最常见的部位; 53.5%来自最贫困的五分之一 (IMD 1).
结论:
- 儿科开放骨折不成比例地影响来自社会贫困背景的青少年男性.
- 这些骨折占主要创伤中心入院病例的3.2%.
- 在十年内,每年发病率的逐渐下降被观察到.
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