新生儿关节骨折的危险因素:一个基于人口的病例控制研究
Assaf Kadar1, Noga Yaniv, Tal Frenkel Rutenberg
1Author Affiliations: Roth McFarlane Hand and Upper Limb Centre, St Joseph's Hospital, London, Ontario, Canada (Dr Kadar); Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada (Dr Kadar); Schneider Children's Medical Center of Israel, Petah Tiqwa, Israel (Ms Yaniv); Orthopedic Department, Rabin Medical Center, Beilinson Hospital, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel (Dr Rutenberg); Rabin Medical Center, Beilinson Hospital, Petah Tiqwa, Israel (Dr Turjeman); Orthopedic Department, Sasmon Assuta Ashdod University Hospital, Faculty of Health Sciences, Ben Gurion University, Ashdod, Israel (Dr Shemesh); Pediatric Orthopedic Unit, Schneider Children's Medical Center, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel (Dr Sidon); and Clalit Health Services, Jerusalem District, affiliated with Hadassa School of Medicine, Hebrew University, Jerusalem, Israel (Dr Cohen).
新生儿关节骨骨折是很常见的. 风险因素包括男性性别,高出生体重,较低的社会经济地位和辅助分娩,而剖腹产和外围注射可能具有保护作用.
科学领域:
- 产科和妇科 产科和妇科
- 新生儿护理 新生儿护理
- 儿科整形外科 儿科整形外科
背景情况:
- 新生儿关节骨折是最常见的出生损伤.
- 识别相关的风险因素对于预防和管理至关重要.
研究的目的:
- 确定新生儿关节骨折的危险因素.
- 分析大量基于人口的数据集,以获得流行病学见解.
主要方法:
- 电子健康记录的回顾性分析 (2000-2020年).
- 与对照组对5015名骨关节骨折的新生儿进行比较.
- 在分析中包括新生儿,分娩和母亲的参数.
主要成果:
- 观察到0.28%的骨折率.
- 显著的危险因素:男性性别,高出生体重,较低的社会经济地位,母亲的体重,母亲的BMI和辅助分娩.
- 保护因素:剖腹产和外周治疗.
结论:
- 这项研究确定了新生儿关节骨骨折的关键风险和保护因素.
- 结果基于迄今为止报告的最大患者队列,提供了重要的临床见解.
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