马拉维儿童骨折的流行病学和管理
Benjamin P Cassidy1, Teja Yeramosu, Foster J Mbomuwa
1From the Virginia Commonwealth University, Richmond, VA (Mr. Cassidy and Mr. Yeramosu); the Harvard Global Orthopaedics Collaborative, Boston, MA (Mr. Cassidy, Mr. Yeramosu, Dr. Wu, and Dr. Agarwal-Harding); the Department of Surgery, Queen Elizabeth Central Hospital, Blantyre, Malawi (Mr. Mbomuwa and Mr. Chidothi); the Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA (Dr. Wu); the AO Alliance Foundation, Davos, Switzerland (Dr. Martin and Dr. Harrison); the Countess of Chester Hospital NHS Trust, Chester, United Kingdom (Dr. Harrison); the Malawi University of Science and Technology, Limbe, Malawi (Dr. Chokotho); and the Department of Orthopaedic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (Dr. Agarwal-Harding).
在马拉维,大多数儿科骨折都不需要手术治疗,即使需要手术干预. 改善手术接入和标准化护理对于改善儿科创伤的结果至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 全球健康 全球健康
- 儿科创伤 儿童创伤
背景情况:
- 儿童骨折在马拉维是一个重大的健康问题,许多儿童无法获得必要的外科护理.
- 了解治疗模式对于开发有效的创伤护理系统至关重要.
研究的目的:
- 分析与马拉维儿科骨折的手术与非手术治疗相关的因素.
- 确定特定的骨折类型和影响手术干预的患者特征.
主要方法:
- 来自马拉维骨折登记处 (2016-2020) 数据的多变量逻辑回归分析.
- 评估手术治疗与人口统计,伤害和医疗保健相关因素之间的关联.
主要成果:
- 在10400个记录的儿科骨折中,只有4.0%的骨折进行了手术固定.
- 靠近腰部,膝盖和脚骨折显示,接受手术的几率最高.
- 从其他机构转诊的儿童接受手术治疗的几率较低.
结论:
- 大多数有骨折的马拉维儿童接受非手术治疗,包括那些可能从手术中受益的病例.
- 马拉维急需加强外科手术能力,完善转诊途径,并标准化骨折治疗方案.
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