目的:我们测试了年龄和性别在小儿TBI住院后手术中的作用。
方法:在中国儿科神经创伤中心住院的1745名儿童的记录包括年龄,性别,受伤原因,损伤诊断,住院天数,内部康复,格拉斯哥昏迷评分,死亡率,出院后6个月格拉斯哥结果量表评分,和手术干预。儿童为0-13岁(M=3.56岁;SD=3.06),47.4%的0-2岁。
结果:死亡率为1.49%。1027例硬膜外血肿患儿的Logistic回归分析硬膜下血肿,脑出血,脑室内出血表明控制其他变量,年龄较小的儿童接受硬膜外血肿手术的几率在统计学上较低(OR=0.75;95%CI=0.68-0.82),硬膜下血肿(OR=0.59;95%CI=0.47-0.74),和脑室内出血(OR=0.52;95%CI=0.28-0.98)。
结论:虽然TBI的严重程度和类型是手术的预期预测因素,在我们的样本中,年龄较小也预示了手术可能性显著较低.孩子的性别与手术无关。
We tested the role of age and sex in surgery following pediatric TBI hospitalization.
Records of 1745 children hospitalized at a pediatric neurotrauma center in
China included age, sex, cause of injury, diagnosis of injury, days of hospitalization, in-house rehabilitation, Glasgow Coma Scale score, mortality, 6-month post-discharge Glasgow Outcome Scale score, and surgery intervention. The children were 0-13 years (M= 3.56 years; SD = 3.06), with 47.4% 0-2 years of age.
The mortality rate was 1.49%. Logistic regression on 1027 children with epidural hematoma, subdural hematoma, intracerebral hemorrhage, and intraventricular hemorrhage showed that controlling for other variables, the odds for younger children to receive surgery was statistically lower for epidural hematomas (OR = 0.75; 95% CI = 0.68-0.82), subdural hematomas (OR = 0.59; 95% CI = 0.47-0.74), and intraventricular hemorrhage (OR = 0.52; 95% CI = 0.28-0.98).
While severity of TBI and type of TBI were expected predictors for surgery, a younger age also predicted a significantly lower likelihood of surgery in our sample. Sex of the child was unrelated to surgical intervention.