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首页> 美国卫生研究院文献>Archives of Emergency Medicine >Population based epidemiology of ankle sprains attending accident and emergency units in the West Midlands of England and a survey of UK practice for severe ankle sprains
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Population based epidemiology of ankle sprains attending accident and emergency units in the West Midlands of England and a survey of UK practice for severe ankle sprains

机译：在英格兰西米德兰兹郡参加急诊室的踝扭伤的流行病学流行病学以及对英国严重踝扭伤的实践调查

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>Objectives: To estimate the incidence of ankle sprains and severe ankle sprains attending accident and emergency (A&E) units; to describe current practice for severe ankle sprains in A&E units in the United Kingdom. >Methods: Crude age and sex specific incidence rates were calculated for four health districts from cases ascertained from data on seven A&E clinical information systems. Case records of patients with ankle sprains at an A&E unit in another health district were audited and the proportion of severe ankle sprains calculated. UK A&E units were surveyed about their usual treatment of patients with severe ankle sprains. >Results: The estimate of the crude incidence rate of ankle sprains was a minimum of 52.7 per 10 000, rising to 60.9 (95% CI 59.4 to 62.4) when figures were adjusted for the proportion of patients without a diagnostic code (13.7%). There were important age-sex differences with unadjusted rates observed from 127.8 per 10 000 (CI 115.5 to 140.0) in girls aged 10–14 years to 8.2 (CI 4.2 to 12.3) in men aged 70–74 years. As 14% of ankle sprains attending A&E were classed as severe, this would equate to 42 000 severe ankle sprains per year in the UK. In the UK wide survey, there was a response rate of 79% (211 of 266). Among the responders, Tubigrip was used routinely in 55%, below knee casts in 3%, and braces in 2%. Boots were not used routinely in any unit. >Conclusion: While there is considerable variation in severe ankle sprain management in UK A&E units, most are treated with the minimal mechanical support of Tubigrip.
机译：>目标：估算参加急救（A＆E）部门的踝关节扭伤和严重踝关节扭伤的发生率；描述英国急症室目前严重踝关节扭伤的做法。 >方法：从七个A＆E临床信息系统的数据确定的病例中，计算了四个卫生区的粗略年龄和性别特定发病率。在另一个卫生区的急诊室对踝关节扭伤患者的病例记录进行了审核，并计算了严重的踝关节扭伤的比例。对英国急症室进行了有关严重脚踝扭伤患者的常规治疗的调查。 >结果：当对无踝关节扭伤的患者比例进行调整后，踝关节扭伤的粗略发生率的估计值最低为52.7 /万，上升至60.9（95％CI为59.4至62.4）。诊断代码（13.7％）。年龄-性别之间存在重要差异，未调整的比率从10-14岁女孩的127.8 /万（CI 115.5至140.0）到70-74岁男人的8.2（CI 4.2-12.3）。由于参加A＆E的踝关节扭伤的严重程度为14％，在英国，这相当于每年42 000例严重的踝关节扭伤。在英国范围内的调查中，答复率为79％（266中的211）。在响应者中，通常使用Tubigrip的比例为55％，低于膝盖的石膏比例为3％，支架为2％。靴子在任何单位都没有常规使用。 >结论：尽管在英国急症室中，严重的踝关节扭伤处理存在很大差异，但大多数都采用了Tubigrip的最小机械支撑。

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