Outcome of reduction of paediatric forearm fracture by emergency department clinicians

被引:0
作者
Gursanscky, Jared [1 ]
Kelly, Anne-Maree [2 ,3 ,5 ]
Hamad, Ahmad [4 ]
Tagg, Andrew [1 ]
Klim, Sharon [2 ]
Ritchie, Peter [1 ]
Law, Ian [1 ]
Krieser, David [1 ]
机构
[1] Western Hlth, Melbourne, Vic, Australia
[2] Western Hlth, Joseph Epstein Ctr Emergency Med Res, Melbourne, Vic, Australia
[3] Univ Melbourne, Melbourne Med Sch, Dept Med, Western Hlth, Melbourne, Vic, Australia
[4] Univ Melbourne, Sch Med, Melbourne, Vic, Australia
[5] Western Hlth, Joseph Epstein Ctr Emergency Med Res, Melbourne, Vic 3021, Australia
关键词
emergency department; fracture; manipulation; paediatric;
D O I
10.1111/1742-6723.14162
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
ObjectivesPaediatric forearm fractures are common. Anecdotally, there is a trend towards ED reduction of selected fractures under procedural sedation. We aimed to determine the rate of subsequent operative intervention for fracture re-displacement. MethodsRetrospective observational study of children with a forearm/wrist fracture undergoing fracture reduction in ED. Outcome of interest was operative intervention for fracture re-displacement within 6 weeks. ResultsAmong 176 patients studied, operative intervention occurred in nine patients (5.1%, 95% confidence interval 2.7-9.4%). ConclusionReduction of paediatric forearm fractures under procedural sedation by ED clinicians is increasingly common and results in a low rate of subsequent operative intervention.
引用
收藏
页码:347 / 349
页数:3
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