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Pediatric firearm-associated fractures:Analysis of management and outcomes

World Journal of Clinical Pediatrics 2021年第6期10卷 151-158页

作者： Virginia Lieu Laura A Carrillo nirav k pandya Ishaan Swarup Department of Orthopaedics St.Mary’s Medical CenterSan FranciscoCA 94117United States Medical College of Wisconsin MilwaukeeWI 53226United States Department of Orthopaedics UCSF Benioff Children’s Hospital OaklandOaklandCA 94609United States

BACkGROUND Firearm-associated injuries(FAIs)are among the leading causes of morbidity and mortality in children living in the United *** victims of such injuries survive,but may experience compromised function related to musculoskeletal *** complex firearm-associated fractures(FAFs)often require specialized orthopaedic,vascular,and plastic surgical intervention,there is minimal research describing their management and *** purpose of this study is to describe the epidemiology and presentation of pediatric FAFs,as well as evaluate the management and outcomes of these *** To describe the epidemiology and presentation of pediatric FAFs,as well as evaluate the management and outcomes of these *** A retrospective chart review was performed at a major,pediatric level 1 trauma *** study included patients aged 18 or younger who presented with FAIs between *** 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 *** management of FAFs was analyzed as well as need for readmission and *** statistics were used to summarize the results and univariate analyses were performed to assess differences between *** Between 2008 and 2018,there were a total of 61 patients who presented with *** 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 *** 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 *** 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 *** were no significant differences in age,sex,r

关键词： Firearm Fracture Adolescent Gunshot Injury Pediatric

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