创伤性鼻子修复的时间是否存在差异?
Ethan D Paliwoda1,2,3, Harry Newman-Plotnick2, Ashar Ata1
1Department of Surgery, Division of Trauma and Surgical Critical Care, Albany Medical Center, 50 New Scotland Ave, NY, USA.
JPRAS open
|September 9, 2025
概括
大多数鼻骨骨折患者得到及时的重新定位. 由于种族,年龄,保险和伤害严重程度而出现轻微延迟,创伤中心水平和转移影响速度.
科学领域:
- 创伤外科手术是什么
- 面部骨折管理 面部骨折管理
- 医疗服务研究 医疗服务研究
背景情况:
- 之前的研究强调了面部骨折患者获得护理的差异.
- 这项研究重点关注住院患者鼻骨重新定位的时间差异.
研究的目的:
- 评估住院患者之间鼻骨重新定位时间的潜在差异.
- 为了确定与延迟或加快鼻骨折治疗相关的因素.
主要方法:
- 利用美国外科医生学院创伤质量改善计划 (ACS-TQIP) 和ICD-10代码 (2017-2022) 的数据.
- 分析了14815名成年患者的多变量考克斯比例危险回归使用鼻骨重新定位的时间.
- 包括诸如种族,年龄,保险,伤害严重性得分 (ISS),伤害机制和并发症等变量.
主要成果:
- 95%的患者在呈现后十天内进行了鼻子重新定位.
- 黑人和亚洲人种族,年龄较大,私人保险,高ISS和并发症与更长的重新定位时间有关.
- 在II级创伤中心的治疗,设施间的转移和面部开放的伤口与干预时间的缩短有关.
结论:
- 大多数鼻骨重新定位发生在标准护理范围内,人口和地理差异较小.
- 对危及生命的伤害的优先考虑影响了严重病例的治疗时间.
- 需要进一步调查面部创伤患者的护理准入不平等问题,这些患者没有得到全面的护理.
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