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儿科骨折流行病学在整形外科紧急护理设置
Alexandra Abbott1, Kate Swertfager2, Summer Bloom3
1Division of Sports Medicine, University of California, Los Angeles, Los Angeles, CA, USA.
概括
儿科骨折在男性和学龄儿童/青少年中更为常见. 半径和手骨折是最常见的,占这一紧急护理队列中近一半的诊断.
科学领域:
- 整形外科手术 整形外科手术
- 儿科医学 儿科医学
- 流行病学 流行病学
背景情况:
- 对于美国儿科骨折的流行病学数据有限.
- 现有研究可能会过度代表来自急诊室和专科诊所的严重病例.
- 这项研究的重点是从儿童骨科急诊中心的数据.
研究的目的:
- 更新儿科骨折的流行病学.
- 分析骨折诊断,受伤地点,年龄,性别和服役日期之间的关联.
- 为儿童骨折提供精确的人口统计和诊断数据.
主要方法:
- 追溯的横截面研究设计.
- 来自城市骨科急诊中心的38336名儿科骨折患者的分析 (2019年4月 - 2023年2月).
- 收集关于诊断,受伤地点,年龄组,性别和服役日期的数据.
主要成果:
- 患者的平均年龄为9.7岁;64%是男性.
- 学龄儿童 (6-11岁) 和青少年 (12-18岁) 占病例的80%.
- 最常见的骨折部位:手腕 (27%),手 (18%),肘部 (14%),脚部 (12%).
- 最常见的骨头骨折:半径 (30%),手法兰克斯 (14%),大腿骨 (10%).
- 骨折 (13%) 和萨尔特-哈里斯骨折 (9%) 是最常见的亚型.
结论:
- 儿童骨折不成比例地影响男性和6-18岁的个人.
- 半径和手骨折是最常见的,占诊断的近50%.
- 这些发现有助于临床医生的培训,成像和儿童骨折风险评估.
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