儿科神经精神疾病对术后结果的影响 在常见的非脊柱骨科手术后
Levi M Travis1, Soumil Prasad, Faaris A Khan
1University of Miami, Miller School of Medicine, Miami, FL.
Journal of pediatric orthopedics
|February 4, 2026
概括
患有多动症,焦虑症,抑郁症或自闭症的儿科患者经历了术后并发症的增加和骨科手术后更长的住院时间. 量身定制的护理对于改善这些儿童的结果至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 儿科健康 儿科健康
- 神经精神病学是一种神经精神病学.
背景情况:
- 儿科骨折很常见,神经精神疾病的发病率越来越高,如ADHD,自闭症,焦虑症和抑郁症.
- 这些并发症可能会使手术恢复复杂化,需要更好地了解它们对儿科骨科结果的影响.
研究的目的:
- 调查常见的神经精神疾病和儿科整形外科手术中术后结果之间的关联.
- 为了识别患有多动症,自闭症,焦虑和抑郁症的儿童的特定并发症和停留时间的差异.
主要方法:
- 使用2019年和2022年的儿童住院患者数据库进行了回顾性比较研究.
- 对接受常见非脊柱骨科手术的儿童进行分析,根据年龄,性别,种族和疾病严重程度进行一比一的匹配.
- 后勤回归模型被用来评估术后并发症,住院时间和医院费用.
主要成果:
- 与较长的逗留和骨髓炎和软组织感染的风险增加相关的ADHD.
- 与长时间停留,软组织感染,机械植入物并发症和便秘相关的焦虑.
- 抑郁症与更长的住宿和更高的骨髓炎风险相关.
- 自闭症显示肺炎和手术后内脏病的风险增加,但没有显著影响住院时间.
结论:
- 神经精神病并发症显著影响儿科骨科康复,增加并发症率.
- 潜在的促成因素包括行为差异和改变的生理机制.
- 建议进行量身定制的术后管理,包括心理健康支持和专业沟通,以改善患者的坚持和减少发病率.
相关概念视频
Common Respiratory Disorders
1.4K
Respiratory disorders, a prevalent health concern globally, are generally divided into two primary categories: upper and lower respiratory tract disorders. The categorization is based on the area of the respiratory system they affect.
Upper respiratory disorders impact the airways above the vocal cords, encompassing areas like the nose, sinuses, and throat. Various conditions fall under this category, including the common cold and allergic rhinitis. These disorders can stem from several causes,...
Upper respiratory disorders impact the airways above the vocal cords, encompassing areas like the nose, sinuses, and throat. Various conditions fall under this category, including the common cold and allergic rhinitis. These disorders can stem from several causes,...
1.4K
Common Ion Effect
46.9K
Compared with pure water, the solubility of an ionic compound is less in aqueous solutions containing a common ion (one also produced by dissolution of the ionic compound). This is an example of a phenomenon known as the common ion effect, which is a consequence of the law of mass action that may be explained using Le Châtelier’s principle. Consider the dissolution of silver iodide:
46.9K
Predicting Reaction Outcomes
10.9K
Kinetics describes the rate and path by which a reaction occurs. In contrast, thermodynamics deals with state functions and describes the properties, behavior, and components of a system. It is not concerned with the path taken by the process and cannot address the rate at which a reaction occurs. Although it does provide information about what can happen during a reaction process, it does not describe the detailed steps of what appears on an atomic or a molecular level. On the other hand,...
10.9K
Impact of Groups on Groups
250
Social psychologists analyze how groups influence one another, shaping social structures and interactions through both cooperation and competition. These dynamics manifest in various ways, ranging from economic partnerships to intergroup conflicts that shape societal structures and perceptions.Cooperation and Competition in Intergroup RelationsIntergroup relationships vary across contexts, sometimes fostering cooperation and mutual benefit while at other times leading to conflict and...
250
Outcomes of Glycolysis
107.3K
Nearly all the energy used by cells comes from the bonds that make up complex organic compounds. These organic compounds are broken down into simpler molecules, such as glucose. As a result, cells extract energy from glucose over many chemical reactions—a process called cellular respiration.
Cellular respiration can occur aerobically (with oxygen) or anaerobically (without oxygen). In the presence of oxygen, cellular respiration starts with glycolysis and continues with pyruvate...
Cellular respiration can occur aerobically (with oxygen) or anaerobically (without oxygen). In the presence of oxygen, cellular respiration starts with glycolysis and continues with pyruvate...
107.3K
Intrinsically Disordered Proteins
19.5K
Intrinsically disordered proteins are a group of proteins that do not fold into specific three-dimensional structures. Their structural flexibility allows them to complement ordered proteins to perform functions that are inaccessible to rigid structures. They are more common in eukaryotes than prokaryotes and may either be exclusively intrinsically disordered or hybrid proteins, consisting of a mix of ordered and disordered regions. The absence of a rigid structure in these proteins can be...
19.5K


