院外救护车临床医生治疗开放性肢体骨折的流行病学:回顾性分析

IF 2.1 4区 医学 Q2 EMERGENCY MEDICINE Australasian Emergency Care Pub Date : 2023-09-01 DOI:10.1016/j.auec.2023.01.001
Brendan V. Schultz , Kerrianne Watt , Stephen Rashford , James Wylie , Emma Bosley
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引用次数: 2

摘要

背景开放性四肢骨折是一种时间紧迫的整形外科紧急情况,目前正在向管辖区的救护车服务部门报告。本研究描述了这些患者的人口统计学特征和流行病学特征。方法我们对两年内(2018年1月至2019年12月)向昆士兰救护车服务中心就诊的所有四肢开放性骨折(肱骨、桡骨/尺骨、胫骨/腓骨或股骨骨折)患者进行了回顾性分析。结果共纳入1020例患者。患者主要为男性(65.9%)和中年(年龄41岁,IQR 22-59)。骨折主要发生在下肢(64.9%),交通事故是受伤的主要机制(47.8%)。骨折的位置因受伤原因而异,股骨骨折与摩托车碰撞有关,桡骨/尺骨骨折归因于跌倒超过一米(p=0.001)。院前护理的中位发作时间为83分钟(IQR 62-144),有航空医疗空中救护车参与,有重症护理人员或急诊医生在场,这两个独立因素都增加了这一时间间隔。结论开放性肢体骨折是救护车临床医生遇到的一种相对罕见的损伤表现。这些患者的特征与之前描述的国内和国际院外创伤队列一致
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Epidemiology of open limb fractures attended by ambulance clinicians in the out-of-hospital setting: A retrospective analysis

Background

Open limb fractures are a time-critical orthopaedic emergency that present to jurisdictional ambulance services. This study describes the demographic characteristics and epidemiological profile of these patients

Methods

We undertook a retrospective analysis of all patients that presented to Queensland Ambulance Service with an open limb fracture (fracture to the humerus, radius/ulna, tibia/fibula or femur) over a two-year period (January 2018 – December 2019).

Results

Overall, 1020 patients were included. Patients were mainly male (65.9%) and middle-aged (age 41 years, IQR 22–59). Fractures predominately occurred in the lower extremities (64.9%) with transport crashes the primary mechanism of injury (47.8%). The location of the fracture varied depending on the cause of injury, with femur fractures associated with motorcycle crashes, and fractures to the radius/ulna attributed to falls of greater than one metre (p = 0.001). The median prehospital episode of care was 83 min (IQR 62–144) with aeromedical air ambulance involvement and the attendance of a critical care paramedic or emergency physician, both independent factors that increased this time interval.

Conclusion

Open limb fractures are a relatively infrequent injury presentation encountered by ambulance clinicians. The characteristics of these patients is consistent with previously described national and international out-of-hospital trauma cohorts

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来源期刊
Australasian Emergency Care
Australasian Emergency Care Nursing-Emergency Nursing
CiteScore
3.30
自引率
5.60%
发文量
82
审稿时长
37 days
期刊介绍: Australasian Emergency Care is an international peer-reviewed journal dedicated to supporting emergency nurses, physicians, paramedics and other professionals in advancing the science and practice of emergency care, wherever it is delivered. As the official journal of the College of Emergency Nursing Australasia (CENA), Australasian Emergency Care is a conduit for clinical, applied, and theoretical research and knowledge that advances the science and practice of emergency care in original, innovative and challenging ways. The journal serves as a leading voice for the emergency care community, reflecting its inter-professional diversity, and the importance of collaboration and shared decision-making to achieve quality patient outcomes. It is strongly focussed on advancing the patient experience and quality of care across the emergency care continuum, spanning the pre-hospital, hospital and post-hospital settings within Australasia and beyond.
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