PEDIATRIC ORTHOPAEDICS
2020 COA Annual Meeting: Predicting Which Children with Osteomyelitis Require Secondary Surgery– Results from the CORTICES multicenter database
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2025;13(6):32A total of nine hundred and ninety-six paediatric patients who had osteomyelitis were included in the study. Sixteen percent of included patients required more than 1 surgery; factors associated with an increase in probability of needed more than 1 surgery for treatment of OM included a higher white blood cell count, peak C-reative protein, peak erythrocyte sedimentation rate and lower platelet count.
学会報告
このACE報告は、学会発表または抄録の要約です。提供された情報により、バイアスのリスクや全体的な質の正確な評価を提供することには限界があります。臨床試験が進行中であったり、選択された結果が発表されている可能性があるため、結果を慎重に解釈してください。
なぜ今この研究が必要なのですか？
It is important to understand musculoskeletal infections in children, including paediatric osteomyelitis. Surgical treatment is often used, and assessing factors that can increase the likelihood of requiring more than 1 surgery is crucial.
主な研究課題は何ですか？
What factors can predict whether children with paediatric osteomyelitis (OM) require multiple surgery for treatment?
重要な知見は？
- Of a total of 996 patients with OM, 16% required more than 1 surgery.
- Results revealed that significant differences were found for factors including white blood cell count, lowest platelet count, peak C-Reactive protein, and peak erythrocyte sedimentation rate.
- Children with all of the above mentioned risk factors had a 62% increase in probability of needing more than 1 surgery, where as a child with no risk factors had a 4% probability.
最も覚えておくべきことは？
Children with paediatric OM are at an increased probability of requiring multiple surgeries if they have higher white blood cell count, C-Reactive protein, and peak erythrocyte sedimentation rate along with lower platelet values.
それが私の患者ケアにどのように影響するか？
It can inform clinicians and physicians in helping make clinical decisions during the treatment of OM in paediatric patients.
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