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2024, Number 5

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Acta Med 2024; 22 (5)

Clinical profile and cost analysis in the care of pediatric patients with Gustilo and Anderson type I exposed fractures seen at a referral center

Gómez DHJ, Valcarce LJA, Santiago GD, Rodríguez FJH
Full text How to cite this article 10.35366/118815

DOI

DOI: 10.35366/118815
URL: https://dx.doi.org/10.35366/118815

Language: Spanish
References: 12
Page: 380-385
PDF size: 243.68 Kb.


Key words:

fractures, pediatrics, costs and cost analysis, medical care, epidemiology.

ABSTRACT

Introduction: open fractures represent up to 2% of all fractures in children; in Mexico, up to 55% are type I; however, no studies have been carried out that address the panorama of this pathology. Material and methods: a descriptive study was conducted conducted in a pediatric population under 16. The statistics were conducted using frequencies, percentages, measures of central tendency, and dispersion. The cost analysis was carried out based on the Official Gazette of the Federation. Results: 58 patients with a mean age of 9.1 years were included, the male gender predominated 2.2:1 compared to the female. The most frequent diagnosis was diaphyseal fracture of radius and ulna in 61%. The main antibiotic was cephalothin at a mean dose of 74.02 ± 24.25 mg/kg/day. Patients underwent surgery an average of 1.17 ± 0.5 times. The average cost of care per patient was $116,373.90 ± $49,342.37 M.N. Conclusion: this study clearly describes the situation in Mexico regarding this pathology despite changes compared to previous years secondary to the SARS-COV-2 pandemic.


REFERENCES

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  5. Iobst CA, Tidwell MA, King WF, Spurdle C, Bartner AC. Nonoperative management of pediatric type I open fractures. J Pediatr Orthop. 2005; 25: 513-517.

  6. 6.Gustilo RB, Anderson JT: Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg Am. 1976; 58(4): 453-8

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  8. 8.Patzakis MJ, Wilkins J. Factors influencing infection rate in open fracture wounds. Clin Orthop Relat Res. 1989; 243:36–40.

  9. 9.Trionfo A, Cavanaugh PK, Herman MJ. Pediatric Open Fractures. Orthopedic Clinics of North America. Julio de 2016; 47(3): 565-78.

  10. 10.Hutchins CM, Sponseller PD, Sturm P, Mosquero R. Open femur fractures in children: treatment, complications, and results. J Pediatr Orthop. 2000; 20: 183–8.

  11. 11.Godfrey J, Choi PD, Shabtai L, Nossov SB, Williams A. Management of pediatric type I open fractures in the emergency department or operating room: a multicenter perspective J Pediatr Orthop. 2019; 39(7): 372-6.

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Acta Med. 2024;22