在监禁患者群体中下骨折结果差异
Joseph A Lewcun1, Naomi Ghahrai2, Madeline Donnelly2
1From the Division of Plastic and Reconstructive Surgery, Virginia Commonwealth University Health System.
Annals of plastic surgery
|October 3, 2024
概括
被监禁的下骨折患者经历了更长的手术等待时间和更高的缺陷关闭率. 这些延迟突出了对囚犯人口专业化外科护理的潜在接入障碍.
科学领域:
- 创伤外科 手术 创伤外科
- 口腔和牙面部外科手术
- 健康差异 在健康上的差异
背景情况:
- 囚犯是一个弱势群体,无法获得手术护理.
- 面部骨折,特别是下骨折,在被监禁的人群中很普遍.
- 在囚犯群体中面部骨折的结果存在有限的研究.
研究的目的:
- 为了确定下骨折的监禁患者的结果的差异.
- 为了比较囚犯和平民人口与创伤性下骨折之间的术后结果.
主要方法:
- 在一个学术医疗中心对孤立的创伤性下骨折 (2018-2023) 的回顾性审查.
- 在囚犯和平民群体之间比较结果,包括缺陷,运动缺陷,感染,重新手术和再接收.
- 通过整形外科,耳鼻喉科或口腔和面外科提供手术治疗.
主要成果:
- 总共有205名患者被分析;11.7%是囚犯.
- 被监禁的患者面临的手术干预的平均时间明显更长 (10.2天与4.4天相比).
- 与平民 (7.2%) 相比,在囚犯 (20.8%) 中观察到持久的主观缺陷的更高率.
结论:
- 被监禁的下骨折患者经历了手术干预的延迟.
- 主观缺陷的增加率与囚犯的延迟手术干预有关.
- 进入专科手术护理的障碍可能会对被监禁患者的结果产生负面影响.
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