Guzman Daniel, Sabharwal Samir, Zhao Caixia, Sabharwal Sanjeev
Department of Orthopedics, Rutgers-New Jersey Medical School, Newark, New Jersey, USA.
J Pediatr Orthop B. 2018 Mar;27(2):93-98. doi: 10.1097/BPB.0000000000000424.
Using the 2012 Kids Inpatient Database, we assessed records of pediatric patients (<21 years old) with fractures of the upper limb, lower limb, spine, pelvis, and multiple locations and calculated the overall prevalence of venous thromboembolism (VTE) and associated potential risk factors. 387 (0.68%) of 57 183 patients with one or more fractures were diagnosed with VTE. Children sustaining fractures of the axial skeleton and those with multiple fractures had a higher prevalence of VTE than those with isolated extremity fractures. Associated risk factors included the presence of a central venous catheter. A prospective, multicenter study is needed to confirm our findings.
利用2012年儿童住院数据库，我们评估了上肢、下肢、脊柱、骨盆及多处骨折的儿科患者（<21岁）的记录，并计算了静脉血栓栓塞（VTE）的总体患病率及相关潜在危险因素。在57183例有一处或多处骨折的患者中，387例（0.68%）被诊断为VTE。轴向骨骼骨折的儿童和多处骨折的儿童VTE患病率高于孤立肢体骨折的儿童。相关危险因素包括中心静脉导管的存在。需要进行一项前瞻性多中心研究来证实我们的发现。
