EPIDEMIOLOGY OF OPEN FRACTURES AND DEGREE OF SATISFACTION OF INITIAL CARE

ABSTRACT Introduction: Open fractures, although uncommon, with trauma have costs that exceed all other reasons for hospitalizations. Its epidemiology has fundamental importance to plan treatment and define priorities. Objective: To assess prospectively the epidemiological profile of open fractures and the degree of satisfaction with initial care. Methods: Epidemiological, prospective, descriptive, observational study was carried out in a convenience sample of open fractures. Quantitative, qualitative, and epidemiological aspects regarding open fractures were evaluated, as well as the degree of satisfaction with the initial care. Results: 124 patients treated with 155 open fractures. 88% were male; mean age 43 years (± 42.99); non-white (56.72%); married (52.41%); low level of education (51.60%); farmer, self-employed, bricklayer, industrialist (51.60%); with monthly earnings of up to 2 minimum wages (87%); healthy (76.13%); victims of labor accidents (39.51%) in bones of the hands (58.02%); 55% on the left side; attended between Thursday to Saturday (50%); work shift 6 a.m.-6 p.m. (77%). There was high level of satisfaction with the initial care provided (98%). Conclusion: Open fractures were related to healthy men, 43 years old, low education and low income, predominant in upper limbs, at 6 a.m. to 6 p.m., from Thursday to Saturday. Most were satisfied with the service provided. Level of Evidence II, Epidemiological, prospective, descriptive, observational study.

摘要
引言：开放性骨折虽不常见，但其所致创伤的住院花费远超其他住院原因。其流行病学特征对于制定治疗方案、明确诊疗优先级具有核心意义。
目的：前瞻性评估开放性骨折的流行病学特征，以及患者对初始诊疗的满意程度。
方法：本研究为流行病学、前瞻性、描述性观察性研究，采用便利抽样法纳入开放性骨折患者。研究对开放性骨折的定量、定性及流行病学特征进行评估，同时调查患者对初始诊疗的满意程度。
结果：本研究共纳入124例患者，共计155处开放性骨折。其中男性占比88%；平均年龄43岁（标准差±42.99）；非白人占56.72%；已婚者占52.41%；受教育程度偏低者占51.60%；职业以农民、个体经营者、泥瓦匠、产业工人为主（占51.60%）；月收入不超过2倍最低工资标准者占87%；无基础疾病者占76.13%；因劳动事故致伤者占39.51%；骨折部位以手部骨骼为主（58.02%）；左侧肢体受累者占55%；就诊时间集中于周四至周六（占50%）；工作班次为早6时至晚6时者占77%。患者对所提供的初始诊疗服务满意度极高，满意率达98%。
结论：开放性骨折患者多为43岁左右的健康男性，受教育程度与收入水平偏低，骨折部位以上肢为主，就诊时段集中于早6时至晚6时的周四至周六时段。绝大多数患者对所提供的服务表示满意。本研究证据级别为Ⅱ级，属于流行病学前瞻性描述性观察性研究。