Predicting fracture occurrence and localization on neonatal clavicle fractures: A multi-centric analysis.

IF 0.9 4区 医学 Q3 PEDIATRICS
Batuhan Gencer, Nuri Koray Ülgen, Hüseyin Gökhan Karadavut, Fatih Yağbasan, Şeyma Bütün Türk, Özgür Doğan
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引用次数: 0

Abstract

Background: Our objective was to identify the factors that influence the occurrence and localization of neonatal clavicle fractures and to determine which risk factor is most effective and to what extent.

Methods: A total of 66 neonates diagnosed with a neonatal clavicle fracture and a control group consisting of 850 neonates without fractures were analyzed. All patients were evaluated by the following criteria: gestational age, birth weight, gender, type of delivery, unilateral absence of the postpartum Moro reflex, maternal age at the time of delivery, number of deliveries, and presence of maternal comorbidities.

Results: The study and control groups were found to differ statistically significantly concerning gestational age, birth weight, type of delivery, and the unilateral absence of the Moro reflex (p < 0.05 for each). Vaginal delivery increased the risk of a neonatal clavicle fracture occurring by a factor of 14.27 (p < 0.001, OR = 14.27, 95% CI: 5.2-38.9). Right-sided neonatal clavicle fractures increased the risk of lateral one-third fractures by a factor of 6.2 (p = 0.037, OR = 6.2, 95% CI: 6.2-47.6).

Conclusions: The occurrence of neonatal clavicle fractures related to birth can be predicted to a certain extent, but the specific fracture levels remain difficult to ascertain. Although gestational age, birth weight, and number of deliveries of the mother are important parameters in the detection of neonatal clavicle fractures, the sole effective parameter in determining the level of the fracture is the side, and the incidence of lateral level fractures increases in right-sided clavicle fractures.

Level of evidence: Prognostic level II study.

预测新生儿锁骨骨折的发生和定位:一项多中心分析。
背景:我们的目的是确定影响新生儿锁骨骨折发生和定位的因素,并确定哪种危险因素最有效,在多大程度上有效。方法:对66例确诊为新生儿锁骨骨折的新生儿和850例未骨折的对照组进行分析。所有患者均通过以下标准进行评估:胎龄、出生体重、性别、分娩类型、单侧产后莫罗反射缺失、产妇分娩时年龄、分娩次数和产妇合并症的存在。结果:实验组与对照组在胎龄、出生体重、分娩类型、单侧Moro反射缺失等方面差异有统计学意义(p)。结论:新生儿锁骨骨折的发生与出生有关,可在一定程度上预测,但具体骨折程度仍难以确定。虽然胎龄、出生体重、产妇分娩次数是检测新生儿锁骨骨折的重要参数,但确定骨折水平的唯一有效参数是侧位,右侧锁骨骨折中外侧水平骨折发生率增加。证据等级:预后II级研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Pediatrics International
Pediatrics International 医学-小儿科
CiteScore
2.00
自引率
7.10%
发文量
519
审稿时长
12 months
期刊介绍: Publishing articles of scientific excellence in pediatrics and child health delivery, Pediatrics International aims to encourage those involved in the research, practice and delivery of child health to share their experiences, ideas and achievements. Formerly Acta Paediatrica Japonica, the change in name in 1999 to Pediatrics International, reflects the Journal''s international status both in readership and contributions (approximately 45% of articles published are from non-Japanese authors). The Editors continue their strong commitment to the sharing of scientific information for the benefit of children everywhere. Pediatrics International opens the door to all authors throughout the world. Manuscripts are judged by two experts solely upon the basis of their contribution of original data, original ideas and their presentation.
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