揭开怀孕期间创伤的影响
Anna Mary Jose1, Aryan Rafieezadeh1, Jordan Kirsch1
1Westchester Medical Center, New York Medical College, Valhalla, NY, USA.
American journal of surgery
|December 5, 2024
概括
怀孕的创伤患者面临严重胸部和腹部伤害的更高风险,通常来自枪支暴力. 虽然死亡率相似,但孕妇在重症监护室停留时间较长,并发症较多.
科学领域:
- 创伤外科 手术 创伤外科
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
背景情况:
- 孕妇创伤患者需要专门的评估和管理.
- 孕妇的创伤性伤害带来了独特的临床挑战.
- 本研究使用国家数据分析了创伤对孕妇患者的影响.
研究的目的:
- 评估创伤伤害对孕妇患者的影响.
- 为了比较孕妇和非孕妇创伤患者之间的结果.
- 在怀孕的创伤受害者中识别特定的受伤模式和并发症.
主要方法:
- 利用美国外科医生学院创伤质量改善计划 (ACS-TQIP) 数据库从2020-2021年.
- 包括受过创伤的15-55岁的女性.
- 雇员倾向分数匹配对比孕妇和非孕妇患者队列,分析死亡率,停留时间 (LOS),干预和并发症.
主要成果:
- 在947,000名受伤的女性中,0.9%是怀孕的.
- 孕妇患者的枪支伤害率较高 (6.0%对比5.4%),胸部 (47.2%对比9.4%) 和腹部受伤率更严重 (7.1%对比4.8%).
- 孕妇患者经历了更长的ICU LOS和更高的非计划的ICU再入院率,尽管总体死亡率相似.
结论:
- 怀孕的创伤患者不成比例地受到枪支暴力的影响,遭受严重的胸部和腹部伤害.
- 这些伤害需要增加干预措施,并导致严重的并发症.
- 虽然孕期创伤不会增加总体死亡率,但与长时间的重症监护和更高的并发症率有关.
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