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Titre du document / Document title

Factors predictive of immobilization Complications in pediatric polytrauma

Auteur(s) / Author(s)

LODER Randall T. (1) ; GULLAHORN Leslie J. (1) ; YIAN Edward H. (1) ; FERRICK Michael R. (1) ; RASKAS David S. (1) ; GREENFIELD Mary Lou V. H. (1) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Section of Orthopaedic Surgery, Department of Surgery, University of Michigan School of Medicine, Ann Arbor, Michigan, ETATS-UNIS

Résumé / Abstract

Objectives: To determine in a cohort of children with polytrauma which variables are predictive of the development of complications related to immobilization. Design: A retrospective study of children with polytrauma and at least one major musculoskeletal injury. A stepwise forward logistic regression analysis was used to determine variables predictive of complications related to immobilization. Participants: Ninety-three children with polytrauma were studied; motor vehicle incidents accounted for 80 percent of the injuries. The average age was 8.0 ± 4.1 years. There were 152 fractures in the ninety-three children. The average Modified Injury Severity Scale (MISS) was 24.5 ± 13.6. There were thirty-five complications in twenty-two children, and four children died. Results: Two variables were predictive of complications related to immobilization: age and MISS score. Complications related to immobilization were positively associated with being older than seven years of age (p = 0.027; odds ratio = 9.5; 95 percent confidence interval 1.4, 64.9) and having a MISS score greater than forty (p = 0.005; OR = 14.1; 95 percent confidence interval 2.2, 89.1). Timing of surgery showed a trend (p = 0.097) but did not reach statistical significance. Conclusions: Complications of immobilization in children with polytrauma are associated with age greater than seven years and a MISS score greater than forty. Further study is needed to evaluate the effect of early fracture stabilization. Timing of osteosynthesis showed a trend but did not reach statistical significance in this study.

Revue / Journal Title

Journal of orthopaedic trauma    ISSN  0890-5339 

Source / Source

2001, vol. 15, no5, pp. 338-341 (22 ref.)

Langue / Language

Anglais

Editeur / Publisher

Lippincott Williams & Wilkins, Hagerstown, MD, ETATS-UNIS  (1987) (Revue)

Mots-clés anglais / English Keywords

Multiple injury

;

Fracture

;

Bone

;

Immobilization

;

Timing

;

Orthopedic surgery

;

Osteosynthesis

;

Risk factor

;

Complication

;

Epidemiology

;

Predictive factor

;

Child

;

Adolescent

;

Human

;

Trauma

;

Public health

;

Mots-clés français / French Keywords

Polytraumatisme

;

Fracture

;

Os

;

Immobilisation

;

Timing

;

Chirurgie orthopédique

;

Ostéosynthèse

;

Facteur risque

;

Complication

;

Epidémiologie

;

Facteur prédictif

;

Enfant

;

Adolescent

;

Homme

;

Traumatisme

;

Santé publique

;

Mots-clés espagnols / Spanish Keywords

Politraumatismo

;

Fractura

;

Hueso

;

Inmovilización

;

Timing

;

Cirugía ortopédica

;

Osteosíntesis

;

Factor riesgo

;

Complicación

;

Epidemiología

;

Factor predictivo

;

Niño

;

Adolescente

;

Hombre

;

Traumatismo

;

Salud pública

;

Localisation / Location

INIST-CNRS, Cote INIST : 21118, 35400009901829.0050

Nº notice refdoc (ud4) : 1086883



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