O'Brien T R, Calle E E, Poole W K
National Center for Environmental Health, US Department of Health and Human Services, Atlanta, Ga., USA.
South Med J. 1995 Apr;88(4):411-5. doi: 10.1097/00007611-199504000-00005.
We reviewed Atlanta area hospital records to determine the following regarding neonatal circumcision: incidence in July 1985; incidence after publicized serious complications of circumcision in August 1985; medical record documentation; and the complication rate. After stratified sampling from hospital birth logs, we abstracted information from medical charts and calculated weighted estimates and P values. The circumcision incidence was 89.3% in July 1985, 87.5% in September 1985, and 84.3% in September 1986. Circumcision was recorded on the medical record face sheet for 84.3% of circumcised boys. The complication rate was 3.1%; no serious complications were recorded. We conclude the following: circumcision incidence was high during the study period; publicity regarding adverse outcomes may have decreased the subsequent incidence of the procedure; hospital discharge data, which rely on medical record face sheet information, underestimate the true incidence of neonatal circumcision; and neonatal circumcision is usually safe, but serious complications may occur.
我们查阅了亚特兰大地区医院的记录，以确定以下关于新生儿包皮环切术的情况：1985年7月的发病率；1985年8月包皮环切术出现严重并发症的情况被公布后的发病率；病历记录情况；以及并发症发生率。从医院出生记录中进行分层抽样后，我们从病历中提取信息并计算加权估计值和P值。1985年7月包皮环切术的发病率为89.3%，1985年9月为87.5%，1986年9月为84.3%。84.3%接受包皮环切术的男孩在病历首页上有记录。并发症发生率为3.1%；未记录到严重并发症。我们得出以下结论：在研究期间包皮环切术的发病率较高；关于不良后果的宣传可能降低了该手术随后的发病率；依赖病历首页信息的医院出院数据低估了新生儿包皮环切术的真实发病率；新生儿包皮环切术通常是安全的，但可能会出现严重并发症。
