甲基苯丙胺使用者的骨科损伤特征：一项回顾性观察研究。
Orthopaedic Injury Profiles in Methamphetamine Users: A Retrospective Observational Study.
机构信息
From the Keck School of Medicine of the University of Southern California, Los Angeles, CA.
出版信息
J Am Acad Orthop Surg. 2020 Jan 1;28(1):e28-e33. doi: 10.5435/JAAOS-D-18-00618.
INTRODUCTION
We sought to characterize the prevalence of methamphetamine (MA) abuse and associated orthopaedic injury patterns at our level 1 trauma center.
METHODS
We conducted a retrospective review of all orthopaedic consults for the year 2016. Patients were classified as MA users based on urine toxicology results and social history.
RESULTS
The prevalence of MA use was 10.0%. MA users were more likely to present with hand lacerations and other infections (P < 0.05 for all). Regarding the mechanism of injury, MA users were more likely to be involved in automobile versus pedestrian, automobile versus bicycle, ballistic, knife, closed fist, other assault/altercation, and animal bite injuries (P < 0.05 for all).
DISCUSSION
MA use is prevalent at our level 1 trauma center. The prevalence and injury patterns of MA abuse warrant deeper study into the effects of this drug on orthopaedic outcomes.
LEVEL OF EVIDENCE
Level III.
简介
我们试图在我们的 1 级创伤中心描述冰毒（MA）滥用的流行率和相关的骨科损伤模式。
方法
我们对 2016 年所有骨科咨询进行了回顾性研究。根据尿液毒物检测结果和社会史，将患者分类为 MA 用户。
结果
MA 使用的流行率为 10.0%。MA 用户更有可能出现手部裂伤和其他感染（所有 P<0.05）。关于损伤机制，MA 用户更有可能涉及汽车与行人、汽车与自行车、弹道、刀、闭合性拳头、其他攻击/争吵以及动物咬伤（所有 P<0.05）。
讨论
MA 使用在我们的 1 级创伤中心很普遍。MA 滥用的流行率和损伤模式需要更深入地研究这种药物对骨科结果的影响。
证据水平
III 级。
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