-
Je něco špatně v tomto záznamu ?
Strategy of pulseless pink supracondylar humerus fracture treatment in children: a comparison of two approaches
R. Štichhauer, J. Preis, L. Plánka, J. Turek, J. Urban, Z. Horák, J. Zeman, M. Konečný, I. Kopáček, F. Hanák, J. Vojta, V. Chrenková
Jazyk angličtina Země Německo
Typ dokumentu časopisecké články, multicentrická studie
NLK
ProQuest Central
od 2007-02-01 do Před 1 rokem
CINAHL Plus with Full Text (EBSCOhost)
od 2007-02-01 do Před 1 rokem
Nursing & Allied Health Database (ProQuest)
od 2007-02-01 do Před 1 rokem
Health & Medicine (ProQuest)
od 2007-02-01 do Před 1 rokem
- MeSH
- arteria brachialis * zranění chirurgie MeSH
- dítě MeSH
- fraktury humeru * komplikace MeSH
- humerus MeSH
- lidé MeSH
- pulz MeSH
- retrospektivní studie MeSH
- ruka krevní zásobení MeSH
- výsledek terapie MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
PURPOSE: The appropriate treatment of pulseless pink supracondylar humerus fractures (SCHF) remains controversial. In this study, the outcomes of two treatment approaches (with and without vascular surgery) were compared. MATERIAL AND METHODS: This was a retrospective multicenter study of patients with pulseless pink SCHFs treated in ten pediatric surgery, trauma, or orthopedics departments in the Czech and Slovak Republic between 2014 and 2018. RESULTS: Of the total 3608 cases of displaced SCHF, 125 had the pulseless pink SCHF. Of those, 91% (114/125) did not undergo vascular surgery and 9% (11/125) underwent vascular surgery. The patients who did undergo vascular surgery had radial artery pulsation restored more frequently in the operating room (73% vs. 36%; p = 0.02), within 6 h (91% vs. 45%; p = 0.004), and within 24 h of surgery (91% vs. 57%; p = 0.05). However, 72 h after surgery, there was no significant difference in palpable radial artery pulsation between the vascular surgery and the non-vascular surgery groups (91% vs. 74%; p = 0.24). Additionally, no significant differences in long-term neurological (9% vs. 22%; p = 0.46) or circulatory (9% vs. 7%; p = 0.57) deficits were found between the two groups. CONCLUSION: While vascular surgery in patients with pulseless pink SCHFs is associated with a more prompt restoration of radial artery pulsation, no statistical significant differences in terms of the restoration of neurological deficits or the risks of long-term neurological or circulatory deficits were found between patients with and without vascular surgery.
Department of Pediatric Surgery Hospital Pardubice Kyjevská 44 53003 Pardubice Czech Republic
Trauma Clinic University Hospital Ostrava 17 listopadu 1790 5 70800 Ostrava Czech Republic
Citace poskytuje Crossref.org
- 000
- 00000naa a2200000 a 4500
- 001
- bmc22033241
- 003
- CZ-PrNML
- 005
- 20230131151445.0
- 007
- ta
- 008
- 230120s2022 gw f 000 0|eng||
- 009
- AR
- 024 7_
- $a 10.1007/s00068-021-01794-x $2 doi
- 035 __
- $a (PubMed)34585254
- 040 __
- $a ABA008 $b cze $d ABA008 $e AACR2
- 041 0_
- $a eng
- 044 __
- $a gw
- 100 1_
- $a Štichhauer, Radek $u Department of Pediatric Surgery and Trauma, University Hospital Hradec Králové, Faculty of Medicine Hradec Kralove, Charles University, Sokolska 581, 500 05, Hradec Králové, Czech Republic. radek.stichhauer@fnhk.cz $1 https://orcid.org/0000000322576193
- 245 10
- $a Strategy of pulseless pink supracondylar humerus fracture treatment in children: a comparison of two approaches / $c R. Štichhauer, J. Preis, L. Plánka, J. Turek, J. Urban, Z. Horák, J. Zeman, M. Konečný, I. Kopáček, F. Hanák, J. Vojta, V. Chrenková
- 520 9_
- $a PURPOSE: The appropriate treatment of pulseless pink supracondylar humerus fractures (SCHF) remains controversial. In this study, the outcomes of two treatment approaches (with and without vascular surgery) were compared. MATERIAL AND METHODS: This was a retrospective multicenter study of patients with pulseless pink SCHFs treated in ten pediatric surgery, trauma, or orthopedics departments in the Czech and Slovak Republic between 2014 and 2018. RESULTS: Of the total 3608 cases of displaced SCHF, 125 had the pulseless pink SCHF. Of those, 91% (114/125) did not undergo vascular surgery and 9% (11/125) underwent vascular surgery. The patients who did undergo vascular surgery had radial artery pulsation restored more frequently in the operating room (73% vs. 36%; p = 0.02), within 6 h (91% vs. 45%; p = 0.004), and within 24 h of surgery (91% vs. 57%; p = 0.05). However, 72 h after surgery, there was no significant difference in palpable radial artery pulsation between the vascular surgery and the non-vascular surgery groups (91% vs. 74%; p = 0.24). Additionally, no significant differences in long-term neurological (9% vs. 22%; p = 0.46) or circulatory (9% vs. 7%; p = 0.57) deficits were found between the two groups. CONCLUSION: While vascular surgery in patients with pulseless pink SCHFs is associated with a more prompt restoration of radial artery pulsation, no statistical significant differences in terms of the restoration of neurological deficits or the risks of long-term neurological or circulatory deficits were found between patients with and without vascular surgery.
- 650 12
- $a arteria brachialis $x zranění $x chirurgie $7 D001916
- 650 _2
- $a dítě $7 D002648
- 650 _2
- $a ruka $x krevní zásobení $7 D006225
- 650 _2
- $a lidé $7 D006801
- 650 12
- $a fraktury humeru $x komplikace $7 D006810
- 650 _2
- $a humerus $7 D006811
- 650 _2
- $a pulz $7 D011674
- 650 _2
- $a retrospektivní studie $7 D012189
- 650 _2
- $a výsledek terapie $7 D016896
- 655 _2
- $a časopisecké články $7 D016428
- 655 _2
- $a multicentrická studie $7 D016448
- 700 1_
- $a Preis, Jindřich $u Department of Pediatric Surgery and Trauma, University Hospital Hradec Králové, Faculty of Medicine Hradec Kralove, Charles University, Sokolska 581, 500 05, Hradec Králové, Czech Republic
- 700 1_
- $a Plánka, Ladislav $u Clinic of Pediatric Surgery, Orthopedics and Trauma, University Hospital, Faculty of Medicine, Masaryk University, Černopolní 9, 61300, Brno, Czech Republic
- 700 1_
- $a Turek, Jakub $u Clinic of Pediatric Surgery, Orthopedics and Trauma, University Hospital, Faculty of Medicine, Masaryk University, Černopolní 9, 61300, Brno, Czech Republic
- 700 1_
- $a Urban, Jiří $u Department of Trauma Surgery, Hospital České Budějovice, B. Němcové 585/54, 37001, České Budějovice, Czech Republic
- 700 1_
- $a Horák, Zbyněk $u Department of Pediatric Surgery, Hospital Pardubice, Kyjevská 44, 53003, Pardubice, Czech Republic
- 700 1_
- $a Zeman, Jaroslav $u Clinic of Orthopedics and Trauma, University Hospital Pilsen, E. Beneše 1128, 30100, Pilsen, Czech Republic
- 700 1_
- $a Konečný, Martin $u Department of Pediatric Surgery and Trauma, Hospital Ústí nad Labem, Sociální péče 3316 /12A, 40113, Ústí nad Labem, Czech Republic
- 700 1_
- $a Kopáček, Ivo $u Trauma Clinic, University Hospital Ostrava, 17. listopadu 1790/5, 70800, Ostrava, Czech Republic
- 700 1_
- $a Hanák, Filip $u Clinic of Pediatric Orthopedics and Trauma, 2nd Faculty of Medicine, Charles University in Prague and Motol University Hospital, V Úvalu 84, 15006, Prague, Czech Republic
- 700 1_
- $a Vojta, Jiří $u Department of Pediatric Surgery and Trauma, University Hospital Bulovka, Budínova 2, 18000, Prague, Czech Republic
- 700 1_
- $a Chrenková, Veronika $u Pediatric Surgery Department, National Institute of Children ́s Diseases and Faculty of Medicine, Comenius University, Limbová 1, 83340, Bratislava, Slovak Republic
- 773 0_
- $w MED00157536 $t European journal of trauma and emergency surgery : official publication of the European Trauma Society $x 1863-9941 $g Roč. 48, č. 5 (2022), s. 3785-3791
- 856 41
- $u https://pubmed.ncbi.nlm.nih.gov/34585254 $y Pubmed
- 910 __
- $a ABA008 $b sig $c sign $y p $z 0
- 990 __
- $a 20230120 $b ABA008
- 991 __
- $a 20230131151441 $b ABA008
- 999 __
- $a ok $b bmc $g 1891800 $s 1184576
- BAS __
- $a 3
- BAS __
- $a PreBMC-MEDLINE
- BMC __
- $a 2022 $b 48 $c 5 $d 3785-3791 $e 20210928 $i 1863-9941 $m European journal of trauma and emergency surgery $n Eur J Trauma Emerg Surg $x MED00157536
- LZP __
- $a Pubmed-20230120
