Pediatric Open Long-Bone Fracture and Subsequent Deep Infection Risk: The Importance of Early Hospital Care
The purpose of the current study was to identify risk factors for deep infection after an open long-bone fracture in pediatric patients. Systematic billing queries were utilized to identify pediatric patients who presented to a level I trauma center from 1998 to 2019 with open long-bone fractures. T...
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| Main Authors: | , , |
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| Format: | Book |
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MDPI AG,
2022-08-01T00:00:00Z.
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| Summary: | The purpose of the current study was to identify risk factors for deep infection after an open long-bone fracture in pediatric patients. Systematic billing queries were utilized to identify pediatric patients who presented to a level I trauma center from 1998 to 2019 with open long-bone fractures. There were 303 open long-bone fractures, and 24 (7.9%) of these became infected. Fractures of the tibia/fibula (<i>p =</i> 0.022), higher revised Gustilo-Anderson type (<i>p =</i> 0.017), and a longer duration of time between the injury and hospital presentation (<i>p =</i> 0.008) were all associated with the presence of deep infection. Those who went on to have a deep infection also required more operative debridements (<i>p =</i> 0.022) and a total number of operative procedures (<i>p =</i> 0.026). The only factor that remained significant in multivariable regression was the duration between the injury and hospital presentation (OR 1.01 [95%CI 1.003-1.017]; <i>p =</i> 0.009), where the odds of deep infection increased by 1% for every minute of delayed presentation. |
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| Item Description: | 10.3390/children9081243 2227-9067 |