急诊科小儿颅脑损伤的骨骼调查差异研究

IF 4.5 2区社会学 Q1 FAMILY STUDIES

Child Maltreatment Pub Date : 2024-09-17 DOI:10.1177/10775595241282321

Caitlin E. Crumm, Emily C. B. Brown, Neil G. Uspal, Derya Caglar, Amelie von Saint Andre- von Arnim, Dwight Barry, Emily A. Hartford

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引用次数: 0

摘要

本研究的目的是评估急诊科（ED）中小儿头部损伤患者骨骼调查（SS）使用的差异。这是一项多站点回顾性队列研究，研究对象为 24 个月内头部受伤且头部 CT 显示受伤的儿童。7/1/12 - 1/1/22.我们确定了 SS 完成情况与种族、民族、护理语言、保险类型和收入之间的调整关联，并对 6 个月儿童和复杂损伤进行了子分析。我们评估了隐性骨折的发生率。符合标准的儿童有 270 名，其中 88 名接受了 SS 治疗。骨骼调查完成情况与种族或民族、护理语言、私人保险、人口普查区收入中位数或在子分析中均未发现统计学关联。88 名患者中有两人（2.3%）出现隐性骨折；两人都有 NAT 的风险因素。总之，SS 完成情况与人口统计学之间没有统计学关联。隐性骨折并不常见。风险较低的患者可能会减少 SS 的使用。

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A Study of Skeletal Survey Disparity in Pediatric Head Injury in the Emergency Department

The objective of this study was to evaluate disparities in skeletal survey (SS) use for pediatric. head injury patients in the emergency department (ED). This was a multi-site retrospective. cohort study of children <24 months with concern for head injury and injury on head CT from. 7/1/12 – 1/1/22. We determined adjusted associations between SS completion and race, ethnicity, language for care, insurance type, and income, with sub-analysis of children <6 months and with complex injury. We evaluated occult fracture prevalence. Two-hundred seventy children met criteria and 88 had SS. No statistical association was found between skeletal survey completion and race or ethnicity, language for care, private insurance, median census tract income, or in sub-analyses. Two of 88 (2.3%) patients had occult fracture; both had risk factors for NAT. In conclusion, no statistical association was found between SS completion and demographics. Occult fracture was uncommon. SS use can likely be decreased in lower risk patients.

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来源期刊

Child Maltreatment Multiple-

CiteScore

6.80

自引率

7.80%

发文量

期刊介绍： Child Maltreatment is the official journal of the American Professional Society on the Abuse of Children (APSAC), the nation"s largest interdisciplinary child maltreatment professional organization. Child Maltreatment"s object is to foster professional excellence in the field of child abuse and neglect by reporting current and at-issue scientific information and technical innovations in a form immediately useful to practitioners and researchers from mental health, child protection, law, law enforcement, medicine, nursing, and allied disciplines. Child Maltreatment emphasizes perspectives with a rigorous scientific base that are relevant to policy, practice, and research.