枪支伤害后手术和重症监护资源的利用:基于年龄的分析
Zachary T O'Connor1, Alyssa Green2, Myron L Rolle3
1University of South Florida College of Arts and Sciences, Tampa, Florida.
The Journal of surgical research
|August 26, 2025
概括
枪支伤害经常需要手术和重症监护. 患有枪支伤害的儿童比成年人更有可能需要中枢神经系统 (CNS) 的手术和输血.
科学领域:
- 创伤手术
- 儿童重症监护
- 公共卫生
背景情况:
- 枪支伤害需要紧急的手术和重症监护,
- 这项研究研究了不同年龄段的枪支伤害资源利用情况.
研究的目的:
- 在不同年龄的人群中调查和比较枪支伤害的资源利用率.
- 确定手术和重症监护干预的特定年龄差异.
主要方法:
- 佛罗里达州卫生保健管理局数据库 (2015-2021) 对枪支伤害住院情况的分析.
- 患者按年龄分类:儿童 (0-13岁),年轻青少年 (14-15岁),年长青少年 (16-17岁),成年人 (18-64岁) 和老年人 (65岁以上).
- 使用多变量逻辑回归的手术和重症监护干预率的比较.
主要成果:
- 在16,263名枪支受伤者中,有72%需要手术;36%需要重症监护干预 (输管,胸管切除,输血).
- 儿童 (0-13) 的中枢神经系统手术率最高 (8%).
- 儿童比成年人更有可能接受中枢神经系统手术 (OR 2.24) 和接受输血 (OR 1. 44),调整为共变量.
结论:
- 枪支伤害对所有年龄段的外科和重症监护人员构成高风险.
- 与成年人相比,受枪伤的儿童需要进行中枢神经系统手术的可能性要高得多.
- 医院必须准备立即稳定, 包括先进的干预, 对所有枪支伤害的受害者,
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