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开放性骨折的流行病学及初始治疗满意度

EPIDEMIOLOGY OF OPEN FRACTURES AND DEGREE OF SATISFACTION OF INITIAL CARE.

作者信息

Costa Filipe Coelho DA, Reis José Mateus Dos, Reis Sérgio Pereira Dos, Bartelega Lucas Alves, Melo Nathan Ferreira DE, Araújo Carlos Delano Mundim

机构信息

Hospital das Clínicas Samuel Libânio, Serviço de Ortopedia e Traumatologia, Pouso Alegre, MG, Brazil.

Universidade do Vale do Sapucaí, Faculdade de Ciências Médicas Dr. José Garcia Coutinho, Pouso Alegre, MG, Brazil.

出版信息

Acta Ortop Bras. 2022 Aug 26;30(4):e245221. doi: 10.1590/1413-785220223004e245221. eCollection 2022.

Abstract

INTRODUCTION

Open fractures, although uncommon, with trauma have costs that exceed all other reasons for hospitalizations. Its epidemiology has fundamental importance to plan treatment and define priorities.

OBJECTIVE

To assess prospectively the epidemiological profile of open fractures and the degree of satisfaction with initial care. Methods: Epidemiological, prospective, descriptive, observational study was carried out in a convenience sample of open fractures. Quantitative, qualitative, and epidemiological aspects regarding open fractures were evaluated, as well as the degree of satisfaction with the initial care.

RESULTS

124 patients treated with 155 open fractures. 88% were male; mean age 43 years (± 42.99); non-white (56.72%); married (52.41%); low level of education (51.60%); farmer, self-employed, bricklayer, industrialist (51.60%); with monthly earnings of up to 2 minimum wages (87%); healthy (76.13%); victims of labor accidents (39.51%) in bones of the hands (58.02%); 55% on the left side; attended between Thursday to Saturday (50%); work shift 6 a.m.-6 p.m. (77%). There was high level of satisfaction with the initial care provided (98%).

CONCLUSION

Open fractures were related to healthy men, 43 years old, low education and low income, predominant in upper limbs, at 6 a.m. to 6 p.m., from Thursday to Saturday. Most were satisfied with the service provided.

摘要

引言

开放性骨折虽不常见,但因创伤导致的住院费用超过了所有其他住院原因。其流行病学对于规划治疗和确定优先事项至关重要。

目的

前瞻性评估开放性骨折的流行病学特征以及对初始治疗的满意度。方法:对开放性骨折的便利样本进行流行病学、前瞻性、描述性观察研究。评估了开放性骨折的定量、定性和流行病学方面,以及对初始治疗的满意度。

结果

124例患者接受了155处开放性骨折治疗。88%为男性;平均年龄43岁(±42.99);非白人(56.72%);已婚(52.41%);教育程度低(51.60%);农民、个体经营者、砖瓦匠、实业家(51.60%);月收入至多为2个最低工资标准(87%);健康(76.13%);手部骨骼劳动事故受害者(39.51%),其中左手占58.02%;55%在左侧;周四至周六就诊(50%);工作班次为上午6点至下午6点(77%)。对所提供的初始治疗满意度较高(98%)。

结论

开放性骨折与43岁、教育程度低、收入低的健康男性相关,以上肢为主,发生时间为周四至周六的上午6点至下午6点。大多数人对所提供的服务感到满意。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95eb/9425958/a676acd68195/1809-4406-aob-30-04-e245221-gf1.jpg

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