Cho Álvaro Baik, Guerreiro Ana Claudia, Ferreira Carlos Henrique Vieira, Kiyohara Leandro Yoshinobu, Sorrenti Luiz
Faculdade de Medicina do ABC, Hand Surgery and Microsurgery Service, Santo André, SP, Brazil.
Acta Ortop Bras. 2020 Jan-Feb;28(1):16-18. doi: 10.1590/1413-785220202801224507.
To conduct an epidemiological study on brachial plexus injuries, through data collection of patients treated in the Hospital São Paulo, which is the referral center for high complexity in this region.
We conducted a retrospective study with a review of the electronic medical records of the Hospital, from August 2008 to June 2013.
We estimated an 1.88/100,000 annual incidence, considering that the Hospital is the only referral center for brachial plexus injuries. The mean time between injury and the first visit to the reference hospital was 8.25 months. The mean time interval between injury and surgery was 11.25 months. The percentage of total injuries was 33%, while the upper and middle trunk injuries were 33% and 28%, respectively.
We observed many aspects in common with those reported by other centers of excellence in Brazil such as: sex, age and mechanism of injury. However, some findings were different from most other epidemiological studies, namely: level of injury, time between the accident and the first appointment and the time between injury and surgery.
通过收集圣保罗医院治疗的患者数据，对臂丛神经损伤进行流行病学研究，圣保罗医院是该地区高复杂性疾病的转诊中心。
我们进行了一项回顾性研究，回顾了该医院2008年8月至2013年6月的电子病历。
考虑到该医院是臂丛神经损伤的唯一转诊中心，我们估计年发病率为1.88/10万。受伤至首次就诊于参考医院的平均时间为8.25个月。受伤至手术的平均时间间隔为11.25个月。总损伤百分比为33%，而上干和中干损伤分别为33%和28%。
我们观察到许多与巴西其他卓越中心报告的情况相同的方面，如性别、年龄和损伤机制。然而，一些发现与大多数其他流行病学研究不同，即：损伤水平、事故与首次就诊之间的时间以及受伤与手术之间的时间。
