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肥胖是儿童创伤患者腹部计算机断层扫描成像的一个预测因素
Christina Colosimo1, Banan Otaibi, Sai Krishna Bhogadi
1From the Division of Trauma, Critical Care, Burns, and Emergency Surgery, Department of Surgery, College of Medicine, University of Arizona, Tucson, Arizona.
The journal of trauma and acute care surgery
|August 30, 2024
概括
肥胖的儿科创伤患者更有可能接受计算机断层扫描 (CT) 扫描,即使伤害严重程度相似. 这凸显了需要完善儿童CT成像指南,以尽量减少辐射暴露.
科学领域:
- 儿童创伤外科手术
- 放射学 放射学是一门学科.
- 流行病学 流行病学
背景情况:
- 计算机断层扫描 (CT) 减少了遗漏的伤害,但涉及辐射暴露,限制了其在儿科患者的使用.
- 确定影响儿童创伤CT使用的因素对于优化护理和最大限度地降低辐射风险至关重要.
研究的目的:
- 调查肥胖与儿童创伤患者接受腹部CT成像的可能性之间的关联.
- 为了确定肥胖是否是CT在这个人群中使用的独立预测因素.
主要方法:
- 来自美国外科医生学院创伤质量改善计划 (2017-2020) 的10,204名儿科创伤患者 (7-17岁) 的回顾性分析.
- 患有孤立腹部创伤的患者,不包括那些经历出血控制手术或缺少数据的患者,按体重指数分层.
- 多变量逻辑回归确定了接受腹部CT成像的预测因素.
主要成果:
- 与其他BMI组相比,肥胖的儿科创伤患者CT成像率最高 (38%).
- 肥胖 (体重指数≥30kg/m2) 是接受腹部CT (调整后几率比,1.30) 的独立预测因素.
- 其他预测因素包括年龄的增长,男性性别,白人种族,透伤害和低体积创伤中心.
结论:
- 肥胖与儿童创伤患者接受CT成像的可能性增加显著相关,无论伤害严重程度如何.
- 需要进一步的研究,以确定儿童创伤中适当的CT成像指示,以减轻与辐射相关的不良影响.
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