患儿面骨折的急性水平医院疗程的危险因素
Sofia Perez-Otero1, Michael F Cassidy, Kerry A Morrison
1Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, NY.
The Journal of craniofacial surgery
|July 23, 2024
概括
这项研究分析了超过155,000个儿科面骨折,揭示了顶骨折是最常见的. 特定的骨折类型增加了严重后果的风险,如重症监护室入院和椎脊椎损伤.
科学领域:
- 儿科创伤学 儿科创伤学
- 面外科手术 面外科手术
- 流行病学 流行病学
背景情况:
- 现有的儿科面创伤文献仅限于单个机构的研究和短暂的观察期.
- 缺乏对儿科面骨折流行病学和相关风险的全面了解.
研究的目的:
- 在10年内分析国家数据库,以界定儿科面骨折的流行病学.
- 确定与小儿面骨折急性水平医院疗程相关的风险因素.
主要方法:
- 利用国家创伤数据库 (NTDB) 来识别从2010年到2019年的儿科面骨折.
- 进行描述性分析和多变量回归以确定急性医院结局的风险因素.
主要成果:
- 审查了155136例儿科面骨折病例:头骨 (49.0%),鼻腔 (22.4%),中脸 (21.0%),下 (20.2%),以及轨道底部 (13.7%).
- 顶骨折是最常见的整体,但随着年龄的增长而减少,而面部骨折随着年龄的增加而增加.
- 顶和中面骨折增加了内损伤和ICU入院的风险 (P<0.001);下骨和中面骨折增加了椎骨折和气管切除的风险 (P<0.001).
结论:
- 这项研究解决了先前研究的局限性,通过在十年内分析一个大型的国家队列.
- 确定每个骨折类型对急性结果的独立贡献有助于优化儿童面创伤的风险分层,咨询和管理.
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