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Epidemiological Investigation of Pediatric Fractures—A Retrospective Cohort Study of 1129 Patients

Background and Objectives: Fractures are common in pediatric trauma, and they are caused by a broad spectrum of factors. Only a few studies have discussed the mechanisms of injury and their relationships to different types of fractures. The most frequent type of fractures in different age groups rem...

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Autores principales: Xiao, Xiaoliang, Ding, Yuhong, Zheng, Yiqiu, Gao, Yun, Li, Huaqing, Liu, Ruikang, Xu, Ruijing, Hong, Pan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10144156/
https://www.ncbi.nlm.nih.gov/pubmed/37109745
http://dx.doi.org/10.3390/medicina59040788
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author Xiao, Xiaoliang
Ding, Yuhong
Zheng, Yiqiu
Gao, Yun
Li, Huaqing
Liu, Ruikang
Xu, Ruijing
Hong, Pan
author_facet Xiao, Xiaoliang
Ding, Yuhong
Zheng, Yiqiu
Gao, Yun
Li, Huaqing
Liu, Ruikang
Xu, Ruijing
Hong, Pan
author_sort Xiao, Xiaoliang
collection PubMed
description Background and Objectives: Fractures are common in pediatric trauma, and they are caused by a broad spectrum of factors. Only a few studies have discussed the mechanisms of injury and their relationships to different types of fractures. The most frequent type of fractures in different age groups remains unclear. Therefore, we aim to summarize the epidemiological characteristics of pediatric fractures in a medical center in Zhuhai, China from 2006 to 2021 and analyze the causes of fractures with the highest frequency in different age groups. Materials and Methods: We extracted the information from the Zhuhai Center for Maternal and Child Health Care of those under 14 years old who had fractures from 2006 to 2021. Results: We reviewed the information of 1145 children. The number of patients increased during the 15 years (p < 0.0001). The number of patients was significantly different between genders after Y2 (p = 0.014). In addition, more than two-thirds of patients (71.3%) had upper limb fractures, and all types of falls were the most common cause of fractures (83.6%). The incidence demonstrated an insignificant difference in age groups except for the fractures of humerus and radius. Moreover, we discovered that the prevalence of fall-related injuries decreased with age, while that of sports-related injuries increased with age. Conclusions: Our study demonstrates that the prevalence of fall-related injuries decreases with age, and that of sports-related injuries increases with age. Most patients have upper limb fractures, and all types of falls are the most common cause of fractures. Fracture types with the highest frequency differ in each age group. These findings might supplement current epidemiological knowledge of childhood fracture and provide references for decision-making in children’s health policies.
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spelling pubmed-101441562023-04-29 Epidemiological Investigation of Pediatric Fractures—A Retrospective Cohort Study of 1129 Patients Xiao, Xiaoliang Ding, Yuhong Zheng, Yiqiu Gao, Yun Li, Huaqing Liu, Ruikang Xu, Ruijing Hong, Pan Medicina (Kaunas) Article Background and Objectives: Fractures are common in pediatric trauma, and they are caused by a broad spectrum of factors. Only a few studies have discussed the mechanisms of injury and their relationships to different types of fractures. The most frequent type of fractures in different age groups remains unclear. Therefore, we aim to summarize the epidemiological characteristics of pediatric fractures in a medical center in Zhuhai, China from 2006 to 2021 and analyze the causes of fractures with the highest frequency in different age groups. Materials and Methods: We extracted the information from the Zhuhai Center for Maternal and Child Health Care of those under 14 years old who had fractures from 2006 to 2021. Results: We reviewed the information of 1145 children. The number of patients increased during the 15 years (p < 0.0001). The number of patients was significantly different between genders after Y2 (p = 0.014). In addition, more than two-thirds of patients (71.3%) had upper limb fractures, and all types of falls were the most common cause of fractures (83.6%). The incidence demonstrated an insignificant difference in age groups except for the fractures of humerus and radius. Moreover, we discovered that the prevalence of fall-related injuries decreased with age, while that of sports-related injuries increased with age. Conclusions: Our study demonstrates that the prevalence of fall-related injuries decreases with age, and that of sports-related injuries increases with age. Most patients have upper limb fractures, and all types of falls are the most common cause of fractures. Fracture types with the highest frequency differ in each age group. These findings might supplement current epidemiological knowledge of childhood fracture and provide references for decision-making in children’s health policies. MDPI 2023-04-18 /pmc/articles/PMC10144156/ /pubmed/37109745 http://dx.doi.org/10.3390/medicina59040788 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Xiao, Xiaoliang
Ding, Yuhong
Zheng, Yiqiu
Gao, Yun
Li, Huaqing
Liu, Ruikang
Xu, Ruijing
Hong, Pan
Epidemiological Investigation of Pediatric Fractures—A Retrospective Cohort Study of 1129 Patients
title Epidemiological Investigation of Pediatric Fractures—A Retrospective Cohort Study of 1129 Patients
title_full Epidemiological Investigation of Pediatric Fractures—A Retrospective Cohort Study of 1129 Patients
title_fullStr Epidemiological Investigation of Pediatric Fractures—A Retrospective Cohort Study of 1129 Patients
title_full_unstemmed Epidemiological Investigation of Pediatric Fractures—A Retrospective Cohort Study of 1129 Patients
title_short Epidemiological Investigation of Pediatric Fractures—A Retrospective Cohort Study of 1129 Patients
title_sort epidemiological investigation of pediatric fractures—a retrospective cohort study of 1129 patients
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10144156/
https://www.ncbi.nlm.nih.gov/pubmed/37109745
http://dx.doi.org/10.3390/medicina59040788
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