3个月前部发育性形的危险因素:一个元分析
Maria Tirta1, Ole Rahbek1, Søren Kold1
1Interdisciplinary Orthopaedics, Department of Orthopaedic Surgery, Aalborg University Hospital, Aalborg, Denmark.
JAMA network open
|January 24, 2025
概括
家庭病史和部表现显著增加3个月以下婴儿部发育性形 (DDH) 的风险. 女性的性行为也带来风险,虽然比以前认为的要低.
科学领域:
- 儿科整形外科 儿科整形外科
- 诊断成像 诊断成像 诊断成像
- 流行病学 流行病学
背景情况:
- 之前的元分析确定了部呈现,DDH的家族史,女性性别和初级性作为DDH的风险因素.
- 在之前的研究中,DDH定义,参考测试和患者年龄的变化使准则的制定变得复杂.
研究的目的:
- 评估此前提出的风险因素与超声波验证的部发育性形 (DDH) 风险之间的关联.
主要方法:
- 在PubMed,Embase和Cochrane图书馆进行了全面的文献搜索.
- 包括的研究发表于1980年至2023年之间,涉及3个月以下的婴儿,通过Graf方法超声学诊断出DDH.
- 数据提取遵循PRISMA和MOOSE指导方针,重点关注风险因素和DDH结果,使用几率比率 (OR).
主要成果:
- 分析了包括64,543名婴儿在内的20项研究.
- 严重的DDH风险因素包括部表现 (OR,4.15),家族史 (OR,3.83),女性性别 (OR,2.50),橄水 (OR,3.76),以及高出生体重 (OR,2.00).
- 初胎,剖腹产,多胎,低出生体重和早产没有与DDH风险增加有关.
结论:
- 家庭病史和部表现与3个月以下婴儿的超声波验证DDH风险增加密切相关.
- 与女性性别相关的风险增加比以前报告的要低.
- 橄水症被确定为风险因素,可能需要考虑查计划.
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