最小的人遭受中风:了解创伤质量改善计划数据库中的脑血管损伤儿童的中风和治疗模式
Catherine C Dawson-Gore1, Emily K Myers1, Emily H Cooper2
1Division of Pediatric Surgery, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, CO.
Surgery
|April 23, 2025
概括
儿童脑血管损伤 (BCVI) 的治疗模式尚不清楚. 患有BCVI的幼儿中风率较高,接受抗血栓治疗较少,因此需要制定治疗指南.
科学领域:
- 儿科创伤学 儿科创伤学
- 血管神经学 血管神经学
- 儿科重症监护 儿科重症监护
背景情况:
- 儿童脑血管损伤 (BCVI) 不常见,但具有显著的风险.
- 目前的治疗模式和与儿童群体中BCVI相关的中风率尚未明确.
- 对儿科BCVI抗血栓治疗的最佳时间和使用仍然未知.
研究的目的:
- 描述儿童中风的发生率和治疗模式.
- 为了比较不同年龄组和伤害严重程度的治疗策略和结果.
- 识别儿童BCVI治疗中抗血栓治疗的知识差距.
主要方法:
- 对创伤质量改善计划数据库 (2016-2022) 的回顾性审查.
- 包括患有形伤害的儿科患者 (<18岁),并诊断出BCVI.
- 分析中风发病率和抗血栓使用情况,其中小组分析不包括创伤性脑损伤和治疗的禁忌.
主要成果:
- 在685,631个伤中,共发现了2,336例儿科BCVI病例 (0.34%).
- 最年轻的儿童 (0-6岁:6.2%) 的中风发病率最高,这些儿童最少接受抗血栓治疗.
- 与未接受治疗的患者 (2.1%) 相比,接受抗血栓治疗的患者中风率较高 (6.1%),这可能表明治疗启动延迟.
结论:
- 患有BCVI的0-11岁儿童的中风率最高,并且接受抗血栓治疗的可能性最低.
- 超过一半的儿科BCVI患者没有接受抗血栓治疗.
- 治疗患者中风率较高的发现表明需要标准化治疗指南,以优化在儿科BCVI中使用抗血栓药物.
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