腹部损伤患者的模式和结果:伊朗的一项多中心研究
Sara Mirzamohamadi1, Mohammad Navid HajiAbbasi2, Vali Baigi1,3
1Sina Trauma and Surgery Research Center, Tehran University of Medical Science, Tehran, 1136746911, Iran.
BMC emergency medicine
|May 30, 2024
概括
的腹部创伤最常伤害肝脏和脏,而透的伤害往往会影响结肠和小肠. 形创伤也导致更高的输血率和重症监护室 (ICU) 的入院率.
科学领域:
- 创伤外科 手术 创伤外科
- 流行病学 流行病学
- 腹部创伤 腹部创伤
背景情况:
- 腹部受伤是全球死亡的一个重要原因,仅次于头部和四肢创伤.
- 这些伤害被分为的或穿透的,需要不同的临床方法.
- 了解这些损伤的流行病学和临床特征对于有效管理至关重要.
研究的目的:
- 调查重与穿透腹部损伤的流行病学和临床特征.
- 识别与每种损伤类型相关的器官损伤模式.
- 确定预测腹部创伤患者进入重症监护室 (ICU) 的因素.
主要方法:
- 一项多中心,横截面的研究利用来自伊朗国家创伤登记处 (NTRI) 的数据从2016年7月到2023年5月.
- 纳入标准包括腹部创伤 (ICD-10代码),长时间住院 (>24小时),致命结局或ICU转移的患者.
- 数据分析涉及对形和穿透性伤害组之间的特征和结果进行比较,包括对ICU入院预测因素的后勤回归.
主要成果:
- 的腹部伤害比穿透伤害更为普遍 (78.9%),主要影响男性 (81.7%).
- 脏 (47.6%) 和肝脏 (40.7%) 在重创伤中受伤最常见;结肠和小肠 (37.5%) 在透创伤中受伤最常见.
- 与穿透性伤害相比,形伤害与更高的输血率 (23.5%与15.2%相比),ICU入院率 (63.6%与42%相比) 和更少的负性腹腔切除术 (7.7%与28%) 相关联.
结论:
- 肝脏和脏是受的腹部创伤影响的主要器官,而结肠和小肠在透创伤中最常受到伤害.
- 的腹部损伤与输血和ICU入院的增加有关.
- 较高的伤害严重性评分 (ISS),较低的格拉斯哥昏迷度量 (GCS) 评分和非手术管理 (NOM) 被确定为ICU入院的重要预测因素.
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