在骨骨折后的急诊室访问
Michael J Gouzoulis1, Ally Yang, Peter Y Joo
1Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT.
Journal of pediatric orthopedics
|January 14, 2025
概括
超过10%的患有骨骨折的儿科患者在90天内访问急诊室 (ED). 这些访问的危险因素包括之前使用ED,糖尿病,肥胖,喘和骨折手术.
科学领域:
- 整形外科手术 整形外科手术
- 儿科急救医学 儿科急救医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 儿科上下骨骨折很常见,经常需要手术干预.
- 对这些骨折进行管理后的急诊室 (ED) 访问的特征不太好.
- 了解这些访问对于患者护理和资源分配至关重要.
研究的目的:
- 在儿科上下骨骨折诊断和管理后90天内对急诊室 (ED) 的访问进行特征化.
- 为了确定与这些随后的ED访问相关的预测因素.
主要方法:
- 一个大型的行政数据库 (2010-2021) 的儿科患者 (<13岁) 带有骨骨折的回顾性分析.
- 基于伤害/手术后90天内ED访问的患者分层.
- 多变量逻辑回归用于识别ED利用的预测因素.
主要成果:
- 在92,994例儿科上骨骨折中,11.1%的儿科上骨骨折导致90天内至少进行一次急救诊所检查.
- 几乎一半的急救诊所 (46.1%) 发生在骨折后两周内,其中一半以上与肘部无关.
- 对于ED访问的预测因素包括先前的ED病史,糖尿病,手术干预,肥胖,喘,医疗补助保险和年轻的年龄.
结论:
- 超过十分之一的患有骨骨折的儿科患者在受伤/手术后90天内访问ED.
- 这强调了在初始治疗后需要密切监测患者的必要性.
- 鉴定的风险因素可以指导针对高风险患者的有针对性的质量改善计划.
相关概念视频
01:27Fractures: Bone Repair
2.9K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
2.9K
01:26Flail Chest-II
160
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
160