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身体穿孔后的紧急情况部门访问
Blake T Cirks, Ashley Maranich1, Cade M Nylund1
1Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, MD.
Pediatric emergency care
|October 17, 2024
概括
身体穿孔伤害 (BPI) 在美国年轻人中很常见,有超过338,000次紧急诊所访问记录. 像阴部区域这样的特定位置增加了住院的风险,而,乳头和口腔穿孔增加了感染的可能性.
科学领域:
- 公共卫生 公共卫生
- 伤害预防 预防伤害
- 皮肤病学 皮肤病学
背景情况:
- 穿刺伤害 (BPI) 越来越普遍,但美国对其频率和相关并发症的综合数据仍然有限.
- 了解BPI的流行病学对于制定有效的公共卫生干预措施和患者安全指南至关重要.
研究的目的:
- 确定2011-2020年美国身体穿刺伤害 (BPI) 紧急诊所 (ED) 访问的发生率和特征.
- 估计24岁及以下的个人中BPI的患病率.
- 分析相关并发症,包括感染,住院和转移率,并确定风险因素.
主要方法:
- 使用国家电子伤害监测系统 (NEISS) 数据库进行的横截面研究.
- 分析2011年至2020年期间BPI的ED访问情况.
- 统计分析以估计患病率,感染率,住院/转移要求,以及与受伤位置和人口统计数据的重大关联.
主要成果:
- 据估计,在2011-2020年期间,美国发生了338,972次BPI,其中大多数影响女性 (85%) 和年龄小于24岁的个人 (55%),主要涉及耳孔 (71%).
- 外国身体占BPI的72.6%,而13%的ED访问与感染有关,其中3%需要住院或转移.
- 与耳孔相比,阴部区域穿孔需要住院的可能性是耳孔的16.8倍,与耳孔相比,,乳头和口腔穿孔显示感染的几率增加.
结论:
- 穿刺伤害是一个重要的公共卫生问题,特别是在儿童,青少年和年轻人中.
- 穿刺位置和患者年龄是影响BPI率,感染风险和住院需要的关键因素.
- 需要进一步的研究来确定美国每年穿刺的数量,以告知有针对性的风险降低策略和为高风险群体提供咨询.
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