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精准医疗在骨科创伤多发伤患者管理中的应用。

Precision Medicine Applications to Manage Multiply Injured Patients With Orthopaedic Trauma.

机构信息

Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN.

Department of Surgery, Surgical Critical Care Initiative, Walter Reed National Military Medical Center, Uniformed Services University of the Health Sciences, Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD.

出版信息

J Orthop Trauma. 2019 Jun;33 Suppl 6:S25-S29. doi: 10.1097/BOT.0000000000001468.

Abstract

Precision medicine offers potential for improved outcomes by tailoring interventions based on patient-specific demographics and disease-specific data. Precision methods are relatively unexplored in trauma patients. New research is being looked at for precision methods to treat patients with large extremity wounds, nonunions, and fractures associated with polytrauma. Precision-based clinical decision tools are being validated to optimize timing for open wound definitive closure. Early patient-specific biomarkers to stratify nonunion risk within 1 week of fracture are being explored. Patient-specific data to stage timing of major fracture interventions in multiply injured patients are being interrogated.

摘要

精准医学通过针对患者特定的人口统计学和疾病特异性数据来定制干预措施,从而提供改善结果的潜力。在创伤患者中,精准方法相对较少被探索。目前正在研究新的精准方法,以治疗患有大肢体创伤、骨不连和与多发伤相关的骨折的患者。正在验证基于精准的临床决策工具,以优化开放性创伤确定性闭合的时机。正在探索在骨折后 1 周内分层非愈合风险的早期患者特异性生物标志物。正在研究多部位损伤患者中主要骨折干预的分期时机的患者特异性数据。

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