Hyman Joshua E, Gaffney John T, Epps Howard R, Matsumoto Hiroko
New York-Presbyterian Hospital/Columbia University Medical Center, New York, NY, USA.
J Pediatr Orthop. 2011 Mar;31(2):113-6. doi: 10.1097/BPO.0b013e3182093f8b.
The purpose of this study was to determine the average prevalence of children across the nation who experience difficulty in attending school after an acute orthopaedic injury.
A survey was created to obtain information on school absence for children with acute orthopaedic injuries. All members of the Pediatric Orthopaedic Society of North America were invited to complete the survey.
The survey was sent by e-mail to 936 members of the Pediatric Orthopaedic Society of North America. A total of 283 surgeons from 45 states responded to the survey, which resulted in a response rate of 30.2%. The survey found a correlation with difficulty in attending school with a cast and the size of the population served. Communities with the larger populations are less likely to permit children to attend school with a cast. The most common reasons given by schools for a child not being permitted to attend school with a cast were concern for the safety of the child and inability to accommodate the needs of the child.
Most physicians participating in the survey reported no difficulty with their patients attending school with a cast. There was more difficulty with children in attending school with a cast in metropolitan areas and in communities with greater than 1 million people. To decrease or to eliminate absence from school, it may be best to identify schools in a physician's community that do not allow attendance of children with a cast. Once individual schools are identified, advocacy can be targeted. At the very least, when it is known which schools are involved, the surgeon can anticipate difficulties and plan accordingly. As a child's absence from school has substantial negative consequences, we strongly support intervention to enable injured children to appropriately return to a regular educational setting in a timely manner. Future studies with school participation would help to identify reasons for school absence after a musculoskeletal injury.
Level V, Prognostic.
本研究的目的是确定全国范围内急性骨科损伤后上学困难的儿童的平均患病率。
创建了一项调查以获取急性骨科损伤儿童缺课情况的信息。邀请北美小儿骨科学会的所有成员完成该调查。
通过电子邮件向北美小儿骨科学会的936名成员发送了调查问卷。来自45个州的283名外科医生回复了该调查，回复率为30.2%。调查发现，打石膏上学困难与所服务人口的规模有关。人口较多的社区不太可能允许儿童打石膏上学。学校给出的不允许儿童打石膏上学的最常见原因是担心儿童安全以及无法满足儿童的需求。
参与调查的大多数医生报告说，他们的患者打石膏上学没有困难。在大都市地区以及人口超过100万的社区，儿童打石膏上学遇到的困难更多。为了减少或消除缺课情况，最好确定医生所在社区中不允许打石膏儿童上学的学校。一旦确定了具体学校，就可以有针对性地进行倡导。至少，当知道涉及哪些学校时，外科医生可以预见到困难并相应地制定计划。由于儿童缺课会产生重大负面影响，我们强烈支持进行干预，以使受伤儿童能够及时适当地重返正常教育环境。未来关于学校参与情况的研究将有助于确定肌肉骨骼损伤后缺课的原因。
V级，预后性。
