转诊儿科急诊科自行车事故的回顾性分析:机制、结果和展望

IF 0.3 Q4 EMERGENCY MEDICINE
L. Akcan Yıldız, A. Tagiyev, Ö. Tekşam
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引用次数: 1

摘要

目的:我们调查了自行车事故患者的特点,以及儿童事故的机制和临床结果。我们的次要目的是评估具有严重临床后果的患者的特征,如创伤性脑损伤(TBI)和永久性神经后遗症。材料和方法:纳入四年内因自行车事故入住三级转诊医院儿科急诊科的儿童。事故机理分为两类;高能创伤和低能创伤。进行了统计分析,以识别与事故机制相关的损伤模式和临床结果。结果:360名儿童被纳入研究。其中两名受伤的病人正在使用自行车头盔。29名患者(8.1%)需要手术治疗。14名患者有临床重要的TBI。18名患者腹部有把手外伤。8名患者有永久性神经后遗症(3名患者视力下降,3名患者听力下降,2名患者痉挛和偏瘫),2名病人手指截肢。在高能创伤中,磨损/软组织损伤、头皮骨折、颌面部骨折和TBI也是更常见的损伤类型。结论:尽管20年前就提出了骑行时使用头盔的建议,但我国的头盔使用率仍然很低。在这个对头盔使用率低且没有强制性规定的回顾性队列中,高能自行车事故已导致显著的临床结果,包括颌面部头皮骨折、TBI、永久性感觉(视觉和听觉)或运动(痉挛和偏瘫)残疾。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Retrospective Analysis of Bicycle Accidents at a Referral Pediatric Emergency Department: Mechanisms, Outcomes and Perspectives
Aim: We investigated the characteristics of patients involved in bicycle accidents, along with the mechanisms of accidents and clinical outcomes in children. Our secondary aim was to assess the characteristics of patients with serious clinical consequences, such as traumatic brain injury (TBI) and permanent neurological sequelae. Materials and Methods: Children admitted to the pediatric emergency department of a tertiary referral hospital during a four-year period due to bicycle accidents were included. The mechanism of the accident was classified into two groups; high-energy trauma and low-energy trauma. Statistical analyses were performed to recognize injury patterns and clinical outcomes associated with the mechanism of the accident. Results: Three hundred-sixty children were included. Two of the injured patients were using a bicycle helmet. Twenty-nine patients (8.1%) required surgery. Fourteen patients had clinically important TBI. Eighteen patients had handlebar trauma to the abdomen. Eight patients had permanent neurological sequelae (vision loss in three, hearing loss in three, spasticity and hemiparesis in two patients) and two patients had finger amputations. Abrasions/soft tissue injuries, scalp fractures, maxillofacial fractures and TBI were also significantly more common types of injury in high-energy trauma. Conclusion: Although the recommendation of using helmets while riding was made two decades ago, the rate of helmet use is still very low in our country. In this retrospective cohort with low rate and no obligatory regulation of helmet use, high-energy bicycle accidents have caused significant clinical outcomes, including maxillofacial-scalp fractures, TBI, permanent sensory (visual and hearing) or motor (spasticity and hemiparesis) disability.
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50.00%
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39
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