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JAMA Pediatr:儿童创伤中心的青少年死亡率更低

2016-07-15 Seven L 译 MedSci原创

近期发表在JAMA Pediatrics的研究称,在儿童创伤中心治疗的患儿与成人和混合创伤中心治疗的患者相比,成人和混合创伤中心更低。华盛顿特区儿童医疗中心的Rachel B. Webman博士及其同事利用相关数据,对钝挫伤或穿透性损伤住院的15-19岁患者进行了研究。模型分为儿童、成人和混合创伤中心,比较中心的具体特点。从儿童、成人和混合创伤中心分别纳入了7572、20402和1639名患者。研

近期发表在JAMA Pediatrics的研究称,在儿童创伤中心治疗的患儿与成人和混合创伤中心治疗的患者相比,成人和混合创伤中心更低。

华盛顿特区儿童医疗中心的Rachel B. Webman博士及其同事利用相关数据,对钝挫伤或穿透性损伤住院的15-19岁患者进行了研究。模型分为儿童、成人和混合创伤中心,比较中心的具体特点。从儿童、成人和混合创伤中心分别纳入了7572、20402和1639名患者。

研究数据表明,成人和和混合创伤中心的青少年死亡率更高,分别为3.2%和3.5%,而儿童创伤中心的死亡率为0.4%(P < .001)。此外,研究人员发现,校正混杂因素后,与儿童创伤中心的青少率死亡率相比,成人(OR = 4.19; 95% CI, 1.3-13.51)和混合创伤中心(OR = 6.68; 95% CI, 2.03-21.99)的青少年死亡率进一步加大。不过I、II级创伤中心没有差异(OR = 0.76; 95% CI, 0.59-0.99)。

研究人员写道:“为什么不同创伤中心的青少年死亡率有差异,仍需要进一步的研究。”

原始出处:

Webman RB, et al.Association Between Trauma Center Type and Mortality Among Injured Adolescent Patients. JAMA Pediatr. 2016;doi:10.1001/jamapediatrics.2016.0805.

Adolescent mortality lower when treated at pediatric trauma centers.Healio.July 13, 2016

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    2016-08-15 feather89
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    2016-09-10 ylzr123

    关注值得,学习。赞!好文探究。

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    2016-08-17 doctorJiangchao

    继续学习

    0

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    2016-08-17 doctorJiangchao

    继续关注

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