在小头部或腹部创伤的儿童中CT使用的感知种族和种族
Nisa S Atigapramoj1, Kevan McCarten-Gibbs1, Irma T Ugalde2
1UCSF Benioff Children's Hospital, Oakland, California.
Pediatrics
|January 11, 2026
概括
计算机断层扫描 (CT) 在患有形腹部创伤 (BAT) 的儿童中使用,没有显示出种族或民族差异. 然而,头部创伤的2岁以下西班牙裔儿童的CT成像率可能较低,这表明潜在的差异.
科学领域:
- 儿科创伤护理 儿童创伤护理
- 医学成像差异差异 医学成像差异
- 在儿科中健康公平.
背景情况:
- 计算机断层扫描 (CT) 对于在创伤后诊断儿童受伤至关重要.
- 了解CT利用中的潜在种族和民族差异对于公平的儿科护理至关重要.
研究的目的:
- 调查种族/族裔与CT扫描在经历轻微重头部创伤 (BHT) 或重腹部创伤 (BAT) 的儿童中使用的关联.
主要方法:
- 在6个儿科创伤中心对17339名BHT儿童和6821名BAT儿童进行前性分析.
- 使用儿科急救护理应用研究网络 (PECARN) 规则评估受伤严重程度.
- 多变量后勤回归控制了地点,年龄,性别,社会贫困指数和受伤严重程度.
主要成果:
- 对于BHT,与非西班牙裔白人儿童相比,2岁及以上的西班牙裔,亚裔或黑人儿童在CT使用中没有发现显著差异.
- 对于2岁以下儿童的BHT,西班牙裔种族与CT使用率较低有关 (aOR,0.75;95% CI,0.59-0.96).
- 对于BAT,CT在所有种族和种族群体中的使用与非西班牙裔白人儿童相比是相似的.
结论:
- 对于儿科粗腹部创伤的CT利用是公平的跨种族和种族群体.
- 在2岁以下的西班牙裔儿童中,头部CT成像可能存在潜在的差异,这需要进一步调查成像实践.
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