Characterization of fractures in the pediatric population: Multicenter study in Colombia
DOI:
https://doi.org/10.1016/j.rccot.2022.05.006Keywords:
Fractures, Children, Epidemiology, Incidence, Emergency serviceAbstract
Introduction: Fractures in children are a public health problem and an important cause of morbidity and mortality. The objective of this study is to carry out a demographic and clinical characterization of the fractures in children treated in two hospitals of different regions of Colombia.
Materials and methods: Descriptive, retrospective study by searching for ICD-10 diagnosis codes and reviewing medical records. Univariate data analysis, expressing the quantitative variables in absolute values and measures of central tendency and the qualitative variables in tables of frequencies and percentages.
Results: The annual incidence of pediatric fractures in the regional hospital was 61.34 / 10,000 and in the pediatric hospital 9.16 / 10,000, with the highest peaks around school holidays. Male sex predominated, left laterality and the age group most affected was 4-7 years. Fractures of the distal radius, supracondylar humerus, and diaphyseal ulna and radius were the most frequent. Falls from standing height were the most common injury mechanism, yet traffic accidents were a major cause of fractures in the regional hospital. Conservative management was the most used.
Discussion: There is agreement with other studies regarding the predominance of males, falls, and upper limb involvement in pediatric fractures. However, there are some differences depending onthe time of year and geographic region. Knowing the characteristics of pediatric fractures is essential to develop preventive strategies.
Level of evidence: IV.
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References
Cheng J, Shen W. Limb fracture pattern in different pediatric age grupos: A study of 3350 children. J Orthop Trauma. 1993;7:15-22.
Lund AR, Faergemann C, Lauritsen JM. A population-based study of seasonal variation in children’s fractures. Dan Med J. 2021;68.
Wang H, Feng C, Liu H, et al. Epidemiologic Features of Traumatic Fractures in Children and Adolescents: A 9-Year Retrospective Study. BioMed Res Int 2019. 2019;1-8, http://dx.doi.org/10.1155/2019/8019063.
Bradshaw CJ, Bandi AS, Muktar Z, et al. International Study of the Epidemiology of Paediatric Trauma: PAPSA Research Study. World J Surg. 2018;42:1885-94, http://dx.doi.org/10.1007/s00268-017-4396-6.
Hedström E, Svensson O, Bergström U, Michno P. Epidemiology of fractures in children and adolescents. Increased incidence over the past decade: a population-based study from northern Sweden. Acta Orthopaedica. 2010;81:148-53.
DANE. Proyecciones de población. Censo Nacional de Población y Vivienda - CNPV-2018. Disponible en: https://www.dane.gov.co/index.php/estadisticas-portema/demografia-y-poblacion/proyecciones-de-poblacion.
Wang H, Feng C, Liu H, Liu J, Ou L, Yu H, Xiang L. Epidemiologic Features of Traumatic Fractures in Children and Adolescents: A 9-Year Retrospective Study. BioMed Res Int. 2019, http://dx.doi.org/10.1155/2019/8019063, 8019063.
Randsborg P, Gulbrandsen P, Benth J, Sivertsen E, Hammer O, Fuglesang H, A◦ røen A. Fractures in Children: Epidemiology and Activity-Specific Fracture Rates. J Bone Joint Surg Am. 2013;95:1-7.
Naranje S, Erali R, Warner W, Sawyer J, Kelly D. Epidemiology of Pediatric Fractures Presenting to Emergency Departments in the United States. J Pediatr Orthop. 2016;36:45-8.
Concha J, Gerstner J, Gallón L, Bárcenas C. Patrón de fracturas en niños en el Hospital Universitario Cali. Rev. Col. Ort. y Traum. 1990;4:247-51.
Wang H, Liu H, Wu J, et al. Age, gender, and etiology differences of sports-related fractures in children and adolescents: A retrospective observational study. Medicine (Baltimore). 2019;98:e13961, http://dx.doi.org/10.1097/MD.0000000000013961.
Mora FG, Carriedo JM, Bustamante BB, Mejía LC, López A, Hernández S. Fracturas más frecuentes en niños en el Hospital Regional General Ignacio Zaragoza del ISSSTE. Rev Esp Méd Quir. 2012;17:175-8.
Wolfe JA, Wolfe H, Banaag A, et al. Early Pediatric Fractures in a Universally Insured Population within the United States. BMC Pediatr. 2019;19:1-6.
Wang H, Zhou Y, Liu J, Ou L, Zhao Y, Han J, Xiang L. Traumatic fractures as a result of motor vehicle collisions in children and adolescents. International orthopaedics. 2018;42:625-30.
Bergman E, Lempesis V, Nilsson JÅ, Jephsson L, Rosengren BE, Karlsson MK. Time trends in pediatric fractures in a Swedish city from 1950 to 2016. Acta orthopaedical. 2020;91:598-604.
Valerio G, Gallè F, Mancusi C, Di Onofrio V, Colapietro M, Guida P, Liguori G. Pattern of fractures across pediatric age groups: analysis of individual and lifestyle factors. BMC Public Health. 2010;10:656.
Younes N, El Hajj MA, Bizdikian AJ, et al. An epidemiological evaluation of fractures and its determinants among Lebanese schoolchildren: a cross-sectional study. Arch Osteoporos. 2019;14:1-7.
Joeris A, Lutz N, Wicki B, Slongo T, Audigé L. An epidemiological evaluation of pediatric long bone fractures -- a retrospective cohort study of 2716 patients from two Swiss tertiary pediatric hospitals. BMC Pediatr. 2014;14.
Schalamon J, Dampf S, Singer G, Ainoedhofer H, Petnehazy T, Hoellwarth M, Saxena A. Evaluation of Fractures in Children and Adolescents in a Level I Trauma Center in Austria. J Trauma. 2011;71:E19-25.
Wegmann H, Orendi I, Singer G, Eberl R, Castellani C, Schalamon J, Till H. The epidemiology of fractures in infants - Which accidents are preventable? Injury. 2016;47:188-91.
Hedström E, Crnalic S, Kullström A, Waernbaum I. Socioeconomic variables and fracture risk in children and adolescents: a population-based study from northern Sweden. BMJ open. 2021;11:e053179.
Baig M. A Review of Epidemiological Distribution of Different Types of Fractures in Paediatric Age. Cureus. 2017;9:e1624.
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