谁是值班的人? 在一级创伤中心进行下骨折管理
Allyson R Alfonso1,2, Maxime M Wang1,2, Alexis K Gursky2
1Bellevue Hospital Center, New York City, NY 10016, USA.
Journal of clinical medicine
|July 12, 2025
概括
口腔和面外科,整形和重建外科以及耳鼻喉科的服务在管理下外伤方面有所不同. 尽管方法各不相同,但整体并发症率在各专业之间仍然相似.
科学领域:
- 创伤外科 手术 创伤外科
- 口腔和牙面部外科手术
- 整形和重建手术 整形和重建手术
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 面部创伤管理涉及口腔和面外科 (OMS),塑料和重建外科 (PRS) 和耳鼻喉科 (ENT).
- 部受伤是一个重大挑战,需要跨学科协调护理.
- 评估管理策略和结果对于优化患者护理至关重要.
研究的目的:
- 为了比较下骨创伤管理策略和OMS,PRS和ENT服务中的临床结果.
- 为了确定操作性与非操作性骨折管理和固定技术的差异.
- 评估管理的变化是否会影响整体并发症率.
主要方法:
- 在一级创伤中心从2007-2016年对137名患有孤立下伤害的患者进行了回顾性图表审查.
- 收集的数据包括患者人口统计学,骨折特征,管理策略 (手术与非手术,ORIF,MMF) 和临床结果.
- 统计分析比较了三个手术部门之间的管理方法和并发症率.
主要成果:
- 攻击是最常见的伤害原因 (79.1%),男性患者占主导地位 (95.3%).
- 在各专业之间观察到运营与非运营管理 (p < 0.001) 和使用有或没有货币基金的ORIF (p = 0.002) 的显著差异.
- 在手术部门之间,整体并发症率没有显著差异 (p = 0.227).
结论:
- 外科专业对手术与非手术下骨折管理以及使用大和下固定有明显的偏好.
- 这些治疗决策的变化与患者整体并发症的显著差异没有相关.
- 尽管有不同的管理理念,标准化结果指标可能是有益的.
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