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冰暴过后因摔倒导致的骨折及其他损伤。

Fractures and other injuries from falls after an ice storm.

作者信息

Smith R W, Nelson D R

机构信息

Emergency Medicine and Trauma Center, Methodist Hospital of Indiana, Indianapolis, USA.

出版信息

Am J Emerg Med. 1998 Jan;16(1):52-5. doi: 10.1016/s0735-6757(98)90065-1.

Abstract

This is a retrospective review of all patients seen at an urban emergency department for 9 days after an ice storm because of a fall on ice. Date of presentation, age, sex, and anatomic location and type of injury were tabulated. Risk factors for fractures were identified. A total of 327 injuries were identified in 259 patients. Back injury was most common (19.3%). Ninety-one patients sustained 93 fractures. Ankle fractures were most common (24.7%), followed by fractures of wrist (19.4%) and hip (14.0%). Ankle fractures were more common than other studies of falls after a snow storm. Fracture was significantly related to age (P = .0001). There was a trend for women to sustain fractures (P = .07). Unlike other mass casualty events, fractures and injuries peaked on the 5th and 6th day after the storm, allowing adequate time for mobilizing resources to care for the injured.

摘要

这是一项对城市急诊科在冰暴后9天内因在冰上摔倒而就诊的所有患者的回顾性研究。记录了就诊日期、年龄、性别、损伤的解剖部位和类型。确定了骨折的危险因素。在259名患者中总共发现了327处损伤。背部损伤最为常见(19.3%)。91名患者发生了93处骨折。踝关节骨折最为常见(24.7%),其次是腕部骨折(19.4%)和髋部骨折(14.0%)。踝关节骨折比其他关于暴风雪后跌倒的研究更为常见。骨折与年龄显著相关(P = .0001)。女性发生骨折有一定趋势(P = .07)。与其他大规模伤亡事件不同,骨折和损伤在暴风雪后的第5天和第6天达到高峰,这为调动资源照顾伤者留出了足够的时间。

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