Predicting serious complications and high cost of treatment of tooth-knuckle injuries: a systematic literature review
| Autor: | J. Loveridge, H. R. Smith, H. Hartman, Ronny Gunnarsson |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Sports medicine medicine.medical_treatment MEDLINE Poison control Wounds Penetrating Violence Critical Care and Intensive Care Medicine Amputation Surgical 03 medical and health sciences 0302 clinical medicine Risk Factors Tendon Injuries Finger Injuries Injury prevention medicine Humans Orthopedics and Sports Medicine 030212 general & internal medicine Mouth 030222 orthopedics Tenosynovitis business.industry General surgery Tooth Injuries Health Care Costs medicine.disease Anti-Bacterial Agents Surgery Systematic review Debridement Amputation Emergency Medicine Septic arthritis Joint Diseases business |
| Zdroj: | European Journal of Trauma and Emergency Surgery. 42:701-710 |
| ISSN: | 1863-9941 1863-9933 4201-6029 |
| Popis: | The tooth-knuckle injury (TKI) is a serious and potentially costly injury seen in orthopaedic practice. The aim was to conduct a systematic literature review on the factors associated with serious complications and high treatment costs in tooth-knuckle injuries. MEDLINE, Scopus and CINAHL were used as the literature sources. Original research papers that reported on factors predicting serious complications and high treatment costs in TKIs were included. There were no restrictions placed on study size, language, study design or date of publication. Case studies, case series and review articles were not included. After duplicates were removed, 403 unique studies remained; after titles and abstracts were screened, 48 titles remained and were retrieved in full text. Of these, 14 titles met the inclusion criteria and were included in the data synthesis. Tenosynovitis, septic arthritis, osteomyelitis and residual stiffness were common serious complications occurring in up to 36.3, 70.0, 47.6 and 65.3 % of cases, respectively. Amputation was also common in up to 18.0 % of injuries. Treatment costs were measured by length of hospital stay and the number of debridements required. On average, patients required 3.8–8 days of admission and 1.3–2.7 debridements each. Increased time delay from injury to treatment, deeply penetrating injuries, proximal interphalangeal joint (PIPJ) injuries and, possibly, E. corrodens infections were associated with serious complications in TKIs. Delayed treatment, inadequate treatment, PIPJ injuries and deeply penetrating injuries predicted higher treatment costs. PROSPERO CRD42016029949 ( http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42016029949 ). |
| Databáze: | OpenAIRE |
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