Pediatric firearm-associated fractures:Analysis of management and outcomes  

作　　者：Virginia Lieu Laura A Carrillo Nirav K Pandya Ishaan Swarup 

机构地区：[1]Department of Orthopaedics,St.Mary’s Medical Center,San Francisco,CA 94117,United States [2]Medical College of Wisconsin,Milwaukee,WI 53226,United States [3]Department of Orthopaedics,UCSF Benioff Children’s Hospital Oakland,Oakland,CA 94609,United States

出　　处：《World Journal of Clinical Pediatrics》2021年第6期151-158,共8页世界临床儿科杂志

摘　　要：BACKGROUND Firearm-associated injuries(FAIs)are among the leading causes of morbidity and mortality in children living in the United States.Most victims of such injuries survive,but may experience compromised function related to musculoskeletal injuries.Although complex firearm-associated fractures(FAFs)often require specialized orthopaedic,vascular,and plastic surgical intervention,there is minimal research describing their management and outcomes.The purpose of this study is to describe the epidemiology and presentation of pediatric FAFs,as well as evaluate the management and outcomes of these injuries.AIM To describe the epidemiology and presentation of pediatric FAFs,as well as evaluate the management and outcomes of these injuries.METHODS A retrospective chart review was performed at a major,pediatric level 1 trauma center.The study included patients aged 18 or younger who presented with FAIs between 2008-2018.Additional data was collected on patients with FAFs including demographic and clinical data such as age,sex,race,payor type,fracture location,injury severity score(ISS),and radiographic and clinical outcomes.The management of FAFs was analyzed as well as need for readmission and reoperation.Descriptive statistics were used to summarize the results and univariate analyses were performed to assess differences between groups.RESULTS Between 2008 and 2018,there were a total of 61 patients who presented with FAIs.In this cohort,21 patients(34%)sustained FAFs(25 fractures)with a mean age of 11(Range:10 mo to 18 years old)at the time of presentation.Approximately 52%(n=11)of patients with FAFs were male,76%(n=8 and n=8,respectively)identified as black or other,and 71%(n=15)had government insurance.FAFs were most commonly noted in the upper extremity(n=7)and lower extremity(n=6).In patients with FAFs,the mean ISS at presentation was 11.38(Range:2-38),and 24%of patients(n=5)were classified as having a major trauma.There were no significant differences in age,sex,race,and payor type in FAF patients that presente

关 键 词：FIREARM Fracture ADOLESCENT GUNSHOT Injury PEDIATRIC 

分 类 号：R726.8[医药卫生—儿科]