危地马拉臂丛神经损伤的患病率和特征的首次研究。

IF 1.1 Q4 CLINICAL NEUROLOGY
Journal of Brachial Plexus and Peripheral Nerve Injury Pub Date : 2021-07-27 eCollection Date: 2021-01-01 DOI:10.1055/s-0041-1731746
Carmen Joanna González Lemus, Fernando Xavier Romero Prieto
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引用次数: 2

摘要

目的了解臂丛神经损伤的发生率,探讨臂丛神经损伤患者的临床和流行病学特征。材料与方法在这项横断面描述性研究中,前瞻性分析2017年1月至2017年12月在危地马拉罗斯福医院骨科门诊外周神经科就诊的2923例1至64岁患者的病历,以确定臂丛神经损伤的患病率和相关因素。结果臂丛神经损伤发生率为5.74%。这种损伤在24 - 64岁的男性中更为常见(90.5%)。臂丛神经损伤继发于摩托车事故的发生率为72%,主要累及上肢。此外,64.28%的患者就诊时间为1 - 6个月,而只有16.07%的患者要求医疗救助。结论在危地马拉,以摩托车为主要交通方式的经济活动男性患者患bpi的风险增加。患者应在受伤后立即咨询,以优化治疗效果。因此,医院必须制定专门的临床指南,以加快BPI损伤的识别和治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
First Study of the Prevalence and Characterization of Brachial Plexus Injuries in Guatemala.

Objective  This study aimed to estimate the prevalence of brachial plexus injuries and to characterize clinically and epidemiologically patients with brachial plexus injury. Materials and Methods  In this cross-sectional descriptive study, 2,923 medical records of patients aged 1 to 64 years who presented at outpatient peripheral nerve unit of the Orthopedic Surgery Department of Hospital Roosevelt, Guatemala, from January 2017 to December 2017, were prospectively analyzed to identify the prevalence and factors associated with brachial plexus injuries. Results  The prevalence rate of brachial plexus injuries in patients was 5.74%. This injury is more common in men (90.5%) aged 24 to 64 years. Brachial plexus injuries occurred secondary to motorcycle accident in 72% of the cases, with the majority affecting the dominant upper extremity. In addition, 64.28% of the patients took 1 to 6 months to seek consultation, whereas only 16.07% requested medical assistance <1 month from the onset of symptoms, and this result was associated with early diagnosis and adequate recovery during follow-up. Furthermore, 66.67% presented upper brachial plexus injury with no associated fractures or vascular injury, manifesting distress while performing daily activities that required hand, arm, and elbow movements. Conclusion  The risk of suffering BPIs in Guatemala increases in economically active male patients that use motorcycles as main mode of transportation. Patients should consult immediately after injury onset to optimize management results. For this reason, hospitals must develop specialized clinical guidelines to speed up the identification and treatment of BPI injuries.

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来源期刊
CiteScore
1.70
自引率
14.30%
发文量
6
审稿时长
12 weeks
期刊介绍: JBPPNI is an open access, peer-reviewed online journal that will encompass all aspects of basic and clinical research findings, in the area of brachial plexus and peripheral nerve injury. Injury in this context refers to congenital, inflammatory, traumatic, degenerative and neoplastic processes, including neurofibromatosis. Papers on diagnostic and imaging aspects of the peripheral nervous system are welcomed as well. The peripheral nervous system is unique in its complexity and scope of influence. There are areas of interest in the anatomy, physiology, metabolism, phylogeny, and limb growth tropism of peripheral nerves.
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