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美国儿童肩部脱位的流行病学
Stefano DiCenso1, Ronald Justin Mistovich1,2,3, David C Kaelber4
1Case Western Reserve University School of Medicine.
Journal of pediatric orthopedics
|October 25, 2024
概括
儿科肩部脱位在美国很常见,发病率很高. 尽管有证据支持早期手术获得更好的结果,但非手术治疗仍然很普遍.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科医学 儿科医学
- 流行病学 流行病学
背景情况:
- 肩部脱是最常见的大型关节脱,经常出现在急诊室.
- 美国儿科肩部脱位的流行病学并没有得到很好的描述.
- 这项研究旨在确定儿科肩部脱位的发病率和特征.
研究的目的:
- 计算美国儿科肩部脱的发病率.
- 描述肩部脱的儿童的人口统计信息.
- 识别儿童肩部脱的管理趋势.
主要方法:
- 在TrinetX中利用美国协作网络,这是一个大型的临床数据库.
- 使用ICD代码查询诊断为肩部脱的18岁以下患者的数据 (2014-2024年).
- 通过CPT编码提取人口统计细节和确定治疗方法. 第四级描述性流行病学分析.
主要成果:
- 在10年内确定了16,460例儿科肩部脱.
- 总体发病率为每10万名患者中的60.31;在ED (116.61) 和门诊 (33.95) 中更高.
- 大多数患者是男性 (73%),白人 (59%),来自东南地区 (36%). 关闭缩减 (25%) 和关节镜手术 (17%) 是常见的治疗方法. 年度脱位增加,但手术治疗没有.
结论:
- 在美国儿科人口中,肩部脱的发病率仍然很高.
- 非手术治疗是儿科肩部脱最常见的方法.
- 尽管有证据支持早期手术干预改善结果,但手术率并没有增加.
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