急诊科老年肋骨骨折患者的临床回顾

Su Bin Oh, Taekyung Seong, Sang Hyun Park, Gwang Pil Rim, K. Park, H. Kim
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引用次数: 1

摘要

背景:几乎每一项关于老年人肋骨骨折的研究都显示相关损伤导致住院胸腔或心血管手术。在韩国,没有研究将这些老年患者与年轻患者进行比较。方法:本研究基于2013年3月至2011年4月在首尔医疗中心急诊科诊断为肋骨骨折的患者。回顾了192例病例的医疗记录和放射检查。研究人员分为两组,一组65岁以上,一组64岁以下。比较两组的伤情,包括伤情发生的地点、伤情发生的时间、相关伤情以及在急诊科的最终结果。结果:最终患者样本量为192例。老年组142例,平均年龄48.77±9.70岁,男性占75.4%。青壮年组50例,平均年龄75.90±7.21岁,男性占25%。年轻组最常见的损伤部位为道路(p=0.007),老年组最常见的损伤部位为家中(p=0.002)。最常见的伤害机制是滑倒(47.4%)、交通事故(18.2%)、坠落(14.1%)和殴打(9.4%)。低龄组跌倒发生率高于高龄组(p=0.011)。肋骨骨折发生在夜间(p<0.001)、周六、周日和冬季(年轻人组),发生在早晨(p =0.002)、周一、周五和冬季(老年人组)。相关损伤依次为胸部、肢体、头部和脊柱。结论:本研究发现,损伤部位、机制、时间和相关损伤的几个选择因素因年龄而异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Clinical Review of Geriatric Patients With Rib Fractures Seen in an Emergency Department
Background: Almost every study of rib fractures in the elderly show associated injuries resulting in admission to thoracic or cardiovascular surgery. In Korea, no studies have compared these elderly patients with younger patients. Methods: This study is based on patients who were diagnosed as having rib fracture at the Emergency Department of the Seoul Medical Center from March 2013 to April 2011. The medical records and radiological examinations of 192 cases were reviewed. Two groups were created-older than 65 years and younger than 64 years. Comparisons were made between the two groups including place of injury, time of injury, associated injuries, and the final result in the Emergency Department. Results: The final patient sample size was 192. The elderly group had 142 patients with the average age being 48.77± 9.70 years and 75.4% males. The young group had 50 patients with the average age at 75.90±7.21 years and 25% males. The most common place of injury was road (p=0.007) in the young group and home (p=0.002) in the elderly group. The most common mechanisms of injury were slipping (47.4%), traffic accidents (18.2%), falling (14.1%), and assault (9.4%). Falling was more prevalent in the young group than in the elderly group (p=0.011). Rib fractures occurred at night (p<0.001), on Saturdays, on Sundays, and in the winter in the young group and in the morning(p =0.002), on Mondays, on Fridays, and in the winter in the elderly group. Associated injuries, in descending order, were chest, limb, head, and spine. Conclusion: This study found that several selected factors of an injury-place, mechanism, time, and associated injuries, differ by age.
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