美国儿科城市和农村人口中的蛇咬和资源利用:2016-2023年
Kristyn Jeffries1,2, Sara C Sanders3,4, Rachel Ekdahl3,4
1Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. kmelchiors@uams.edu.
Injury epidemiology
|February 27, 2025
概括
与城市儿童相比,受蛇咬伤的农村儿童在医院资源的使用和结果不同. 农村的儿科患者更有可能入院并接受抗毒药.
科学领域:
- 儿科急救医学 儿科急救医学
- 毒理学 毒理学 毒理学
- 公共卫生 公共卫生
背景情况:
- 在美国,蛇咬伤每年影响近7000人,其中儿童占很大一部分.
- 农村儿童可能面临不同的临床结果,因为增加了蛇的暴露.
研究的目的:
- 调查农村和城市儿科患者因毒蛇咬伤而接受治疗之间的医疗资源利用差异.
- 根据地理位置,比较影响儿科蛇病例结果的人口和临床特征.
主要方法:
- 对美国 (2016-2023) 毒蛇咬伤的儿科患者 (≤21岁) 的回顾性横截面分析.
- 利用儿科医院信息系统数据库和ICD-10代码来识别蛇咬伤.
- 在人口统计,临床特征,资源利用和并发症方面比较农村与城市患者群体.
主要成果:
- 包括来自23个州的2,633名儿科患者;中位数年龄为9岁.
- 与城市同行相比,农村患者更有可能住院并接受抗毒药.
- 相反,农村患者的重症监护室入院率和异常凝血研究较低.
结论:
- 与城市环境相比,居住在农村地区的儿科蛇咬患者表现出不同的医疗资源利用和临床并发症模式.
- 这些发现突出了儿科蛇治疗和结果的地理差异.
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