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面损伤与儿科患者创伤性脑损伤的关联:一个病例控制研究

Baranya Shrikrishna Suprabha¹, Michael Lowery Wilson^2,3, Joanna Baptist⁴

¹Department of Pediatric and Preventive Dentistry, Manipal College of Dental Sciences Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.

BMC oral health

|December 26, 2024

概括

面部受伤的儿童患创伤性脑损伤 (TBI) 的风险高2.5倍. 道路交通事故和更长的住院时间与这些患者的TBI有关. 单独的牙脉损伤可能会降低TBI的可能性.

科学领域:

儿科创伤学儿科创伤学
神经创伤是一种神经创伤.
紧急医疗紧急医疗

背景情况:

创伤性脑损伤 (TBI) 在儿童中难以诊断,往往导致诊断不足.
面伤害的儿童面临着同时发生TBI的风险较高.
这项研究调查了儿科患者的面损伤和TBI之间的关联.

研究的目的:

在儿科患者中分析面伤害和TBI之间的关联.
为了确定与TBI发生相关的因素,在儿科患者与面部损伤.

主要方法:

一项病例控制研究,涉及192名患有面伤害的儿科患者 (病例) 和192名患有其他创伤伤害的儿科患者 (对照).
0-18岁患者的医疗记录被选为人口统计数据,创伤原因以及TBI存在,类型和严重程度.
使用几率比率和多重物流回归来确定关联.

主要成果:

创伤发生在53%的病例中,而对照组只有32%,赔率比为2.5.
道路交通事故 (RTA),更长的住院时间和牙骨折与面损伤患者的TBI显著相关.
只有牙骨损伤的存在与TBI的可能性降低有关.

结论:

患有大面部损伤的儿科患者需要对TBI进行查,因为其风险增加了2.5倍.
在这个人群中,RTA和长时间住院是与TBI相关的关键因素.
孤立的dentoalveolar损伤可能表明并发性TBI的风险较低.

关键词:

孩子孩子孩子孩子口面部创伤口面部创伤儿科儿科儿科创伤性脑损伤是一种创伤性脑损伤.

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Traumatic Brain Injury l: Introduction

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DefinitionTraumatic brain injury, or TBI, is a disturbance of normal brain function induced by an external mechanical force, such as a direct blow to the head or a penetrating injury. It can affect both brain structure and function, producing a wide range of clinical outcomes. TBI is a heterogeneous condition, meaning its effects may differ based on the type, location, and severity of the injury.Basis of ClassificationTBI is classified based on severity, injury mechanism, or pathophysiology. In...