Wound Care in Pediatric vs Adult Patients
39 Questions
1 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the prevalence ratio of pediatric to adult patients for simple repair wounds?

  • 1.59 (correct)
  • 4.4
  • 7.0
  • 0.29

    • Which type of wound location is most common for pediatric patients according to the data?

  • Dog bites (correct)
  • Intermediate repair wounds
  • Squirrel bites
  • Complex repair wounds

    • Which statement correctly reflects the findings about simple repair wounds for adult and pediatric patients?

  • Pediatric patients have a lower prevalence ratio.
  • Pediatric simple repair wounds are lesser than adults.
  • Adults show a higher prevalence of simple repair wounds.
  • Pediatric patients have a higher prevalence of simple repair wounds. (correct)

    • What is the percentage of dog wounds among adult patients?

    <p>15.28% (B)</p> Signup and view all the answers

    Which duration of wound size has a prevalence of 0 for both adult and pediatric patients?

    <p>20.1-30 cm (B)</p> Signup and view all the answers

    What was the primary objective of the study?

    <p>To assess the epidemiology of RIG use in different age groups. (A)</p> Signup and view all the answers

    During which years were the eligible participants for the study identified?

    <p>2013 to 2019 (C)</p> Signup and view all the answers

    How many adult patients met the inclusion criteria in the study?

    <p>79,766 (C)</p> Signup and view all the answers

    Which injury had the highest prevalence in paediatric patients compared to adults?

    <p>Open wounds to the head, neck, and trunk (C)</p> Signup and view all the answers

    What statistical method was used to differentiate paediatric from adult patients?

    <p>Mutual information (D)</p> Signup and view all the answers

    What is the significance of understanding wound characteristics in this study?

    <p>To inform dosing and administration of RIG. (A)</p> Signup and view all the answers

    Which gender had a higher percentage of paediatric patients in the study?

    <p>Male (A)</p> Signup and view all the answers

    What percentage of paediatric patients had complex repairs?

    <p>0.7% (A)</p> Signup and view all the answers

    What is the prevalence ratio for pediatric patients compared to adult patients for complex repair wounds overall?

    <p>3.85 (A)</p> Signup and view all the answers

    In which wound location do pediatric patients have a higher prevalence compared to adults?

    <p>Head/Neck (A)</p> Signup and view all the answers

    What is the main reason for the higher prevalence of dog bites in children?

    <p>Curiosity and smaller size (C)</p> Signup and view all the answers

    Which type of animal encounter has the highest number of incidents reported for adults?

    <p>Dog (C)</p> Signup and view all the answers

    What wound location has the lowest prevalence ratio for pediatric patients compared to adults?

    <p>Arms (D)</p> Signup and view all the answers

    Which of the following statements is true regarding rabies risk in children?

    <p>Children have a greater risk of serious complications including rabies. (C)</p> Signup and view all the answers

    What is a notable feature of complex repair wounds for adult patients?

    <p>Are categorized by size and location (C)</p> Signup and view all the answers

    Comparing adult and pediatric patients, which animal resulted in a higher number of encounters for pediatric patients?

    <p>Dog (C)</p> Signup and view all the answers

    What is the common age group for paediatric patients in the study?

    <p>7-10 years (B)</p> Signup and view all the answers

    Which diagnosis had the highest prevalence ratio for paediatric patients compared to adults?

    <p>Laceration of eyelid/periocular area (D)</p> Signup and view all the answers

    What statistical method was used to identify factors differentiating paediatric from adult populations?

    <p>Mutual Information (B)</p> Signup and view all the answers

    What was the predominant insurance type among patients in both groups?

    <p>Commercial insurance (A)</p> Signup and view all the answers

    How many total adult patients met the inclusion criteria for the study?

    <p>79,766 (B)</p> Signup and view all the answers

    Which of the following procedures is noted for having higher prevalence among paediatric patients?

    <p>Removal of sutures (D)</p> Signup and view all the answers

    What demographic variable associated with sex was found in the adult patient group?

    <p>55.7% female (D)</p> Signup and view all the answers

    What was the recorded prevalence of 'Dog bite' among adult patients?

    <p>20.73% (A)</p> Signup and view all the answers

    What is the prevalence ratio of 'Open wounds of head, neck, and trunk' for paediatric patients?

    <p>5.92 (A)</p> Signup and view all the answers

    Which of the following describes the overall outcome of the study?

    <p>Significant differences in diagnoses and procedures between groups were found. (C)</p> Signup and view all the answers

    What is the primary reason animal bites to the head and face are particularly risky?

    <p>They can increase the risk of rabies progression. (A)</p> Signup and view all the answers

    What is included in immediate post-exposure prophylaxis (PEP) for unvaccinated patients?

    <p>Rabies immunoglobulin (RIG) and rabies vaccine. (A)</p> Signup and view all the answers

    What can impair the immunogenicity of a rabies vaccine?

    <p>Exceeding the RIG dose beyond 20 IU/kg. (D)</p> Signup and view all the answers

    Why do children pose a higher risk for inadequate rabies immunoglobulin (RIG) treatment?

    <p>Their weight limits the available RIG volume. (D)</p> Signup and view all the answers

    What does the term 'incomplete infiltration' refer to in the context of rabies treatment?

    <p>Insufficient volume of RIG used for infiltration. (A)</p> Signup and view all the answers

    How has recent guideline improvement in some European countries addressed RIG dosing?

    <p>They integrated volume-based and wound-based dosing. (A)</p> Signup and view all the answers

    What kind of population bias may exist according to the limitations of the study?

    <p>Selection bias of adults and children suspected of rabies. (B)</p> Signup and view all the answers

    What is a common misconception about the dosage of RIG for paediatric patients?

    <p>Children need the same RIG volume as adults. (B)</p> Signup and view all the answers

    Flashcards

    Rabies Immune Globulin (RIG)

    A treatment used for rabies exposure to boost immunity.

    Paediatric Patients

    Children receiving medical treatment, typically under 18 years old.

    Adult Patients

    Individuals aged 18 years or older seeking medical care.

    Diagnosis

    The identification of a disease or condition based on symptoms.

    Signup and view all the flashcards

    ICD Codes

    International codes for diseases used in healthcare for diagnosis.

    Signup and view all the flashcards

    CPT Codes

    Codes used to describe medical, surgical, and diagnostic services.

    Signup and view all the flashcards

    Prevalence Ratio

    A measure that compares the prevalence of a condition in two groups.

    Signup and view all the flashcards

    Top Diagnoses in RIG Study

    Most common conditions prompting RIG use among patients.

    Signup and view all the flashcards

    Statistical Analysis in Study

    Methods used to differentiate treatments and outcomes between groups.

    Signup and view all the flashcards

    Procedure Codes

    Codes identifying specific medical procedures performed on patients.

    Signup and view all the flashcards

    Simple Repair Wounds

    Basic wound treatments categorized by size, focusing on prevalence in adults vs children.

    Signup and view all the flashcards

    Intermediate Repair Wounds

    Moderate complexity wound treatments, more involved than simple repairs.

    Signup and view all the flashcards

    Complex Repair Wounds

    Wounds requiring advanced treatment based on location and size.

    Signup and view all the flashcards

    Complex Repair Wounds

    Advanced wound treatments that require more skill and resources, often for severe injuries.

    Signup and view all the flashcards

    Wound Location by Patient Type

    Data summarizing where on the body different age groups receive wounds.

    Signup and view all the flashcards

    Pediatric Wound Location

    Areas on the body where children commonly sustain injuries.

    Signup and view all the flashcards

    Dog Bites

    Injuries inflicted by dogs, often affecting children more due to size and behavior.

    Signup and view all the flashcards

    Animal Encounter Types

    Categories of interactions between humans and animals leading to injuries.

    Signup and view all the flashcards

    Rabies Exposure

    Contact with potentially rabid animals requiring urgent medical attention.

    Signup and view all the flashcards

    Risk Factors for Animal Bites

    Conditions that increase the likelihood of getting bitten, especially in children.

    Signup and view all the flashcards

    Facial Injuries

    Wounds to the head and face, critical due to proximity to the brain.

    Signup and view all the flashcards

    Animal bites risk

    Bites to the head and face are riskier for rabies due to rapid progression.

    Signup and view all the flashcards

    Post-exposure prophylaxis (PEP)

    Immediate treatment for unvaccinated individuals to prevent rabies after exposure.

    Signup and view all the flashcards

    RIG dosing in children

    Children require careful RIG volume dosing due to smaller body sizes and complex wounds.

    Signup and view all the flashcards

    RIG administration failure

    Failures can occur due to incomplete infiltration or improper wound care.

    Signup and view all the flashcards

    RIG guidelines revision

    CDC revised RIG administration guidelines in 1999 for better treatment outcomes.

    Signup and view all the flashcards

    WW on RIG efficacy

    Weight-based dosing for RIG may not reflect safety and efficacy in children.

    Signup and view all the flashcards

    Complex wounds in children

    Children's larger and more complex wounds increase RIG volume requirements.

    Signup and view all the flashcards

    Epidemiology of RIG Use

    The study of how common RIG use is among different age groups in the USA.

    Signup and view all the flashcards

    Paediatric Prevalence

    Higher rates of certain conditions and RIG use in children compared to adults.

    Signup and view all the flashcards

    Open Wounds

    Injuries where the skin is torn or cut, especially to the head and neck.

    Signup and view all the flashcards

    Prevalence of Complex Repairs

    Children show a 3.83-fold higher rate of complex wound repairs than adults.

    Signup and view all the flashcards

    RIG Administration Factors

    Dosing and administration for RIG depend on wound characteristics and patient age.

    Signup and view all the flashcards

    Statistical Findings

    Study found 79,766 adults and 20,381 pediatric patients received RIG from 2013-2019.

    Signup and view all the flashcards

    RIG Patient Outcomes

    Analysis of medical procedures and diagnoses associated with RIG use.

    Signup and view all the flashcards

    Study Design

    The study is a cross-sectional prevalence study conducted over several years.

    Signup and view all the flashcards

    Study Notes

    Epidemiology of Rabies Immune Globulin Use in Pediatric and Adult Patients in the USA

    • Study compared epidemiology of pediatric and adult patients receiving rabies immune globulin (RIG)
    • Cross-sectional prevalence study
    • Data from the Symphony and Integrated Dataverse from 2013 to 2019
    • Participants presented between 2013 and 2019
    • Integrated claims and demographic data

    Primary and Secondary Outcome Measures

    • Prevalence of diagnosis and procedures associated with pediatric and adult patients based on frequency of medical procedures used
    • International Classification of Diseases (ICD-9-10) codes, respectively
    • Used medical terminology codes to identify features that differentiate the populations
    • Calculated prevalence ratios from adult to compare adult and pediatric patients

    Results

    • 79,766 adult and 20,381 pediatric patients were in the study
    • Prevalence of open wounds higher in adults
    • 3.10-fold higher prevalence of open wounds to the head, neck and trunk in pediatric patients
    • Higher prevalence of facial lacerations and eyelid lacerations in pediatric patients compared to adult patients

    Top Diagnoses Differentiating Pediatric versus Adult Patients

    • Open wounds of the head, neck and trunk were more prevalent in pediatric patients.
    • Dog bites were more prevalent in pediatric versus adult patients (18.19% vs. 20.73%).
    • Encounters for removal of sutures were more prevalent in pediatric patients compared to adults
    • Open wounds on the hand except fingers/alone were more prevalent in adults versus pediatric patients
    • Open wounds on hands, feet, wrists, and arms were more prevalent in adult patients
    • Lacerations of the eyelid and periorbital area were more prevalent in pediatric patients

    Top Procedures Differentiating Pediatric versus Adult Patients

    • Injection of Ketorolac tromethamine(15mg) for procedural pain was more prevalent in adults.
    • Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes were present in a higher frequency in pediatric patients.
    • Subsequent hospital care for evaluation and management of a patient was more prevalent in pediatric patients compared to adults.
    • Level 3 hospital emergency department was more prevalent in pediatric patients than adults.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Description

    This quiz explores key statistics and findings related to simple repair wounds in pediatric and adult patients. It covers prevalence ratios, common wound locations, and specific data about dog wounds. Test your knowledge on wound care across different age groups.

    More Like This

    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser