Decreasing Incidence and Changing Pattern of Childhood Fractures: A Population-Based Study
Decreasing Incidence and Changing Pattern of Childhood Fractures: A Population-Based Study
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DOI：
10.1002/jbmr.155
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发表时间：
2010-12-01
影响因子：
6.2
通讯作者：
Kallio, Pentti E.
中科院分区：
文献类型：
--
作者：
Mayranpaa, Mervi K.;Makitie, Outi;Kallio, Pentti E.
为了确定骨折的发病率和流行病学模式，我们在芬兰赫尔辛基进行了一项基于人群的研究，所有0至15岁儿童的骨折都是在2005年的12个月期间从公共卫生机构记录的，详细的患者人口统计学、骨折部位、和创伤机制收集所有骨折被证实射线照片类似的数据从1967年开始,1978年,2005年和1983年被用于比较,共1396骨折被记录,63%在男孩整个骨折发生率为163每10000诱发损伤主要由当跑步或步行或从高处跌落小于1 5 m骨折发病率达到10年女孩和14年男孩骨折发生率的增加被认为从1967年到1983年(24%,p < 0001)，但从1983年到2005年显著下降（18%,p < 0001），这种下降在10 - 13岁的儿童中最大，尽管手部骨折（-39%,p < 0001）和足部骨折（-48%,p < 0001）总体下降，但前臂和上臂骨折的发生率分别显著增加了31% （p < 0001）和39% (p = 021)，基于这些发现，在过去的二十年中，儿童骨折的总体发病率显著下降，同时，前臂和上臂骨折的发病率增加了三分之一，这些流行病学变化的原因仍有待于在未来的研究中阐明(C) 2010年美国骨与矿物研究协会
Fractures are common in children, and some studies suggest an increasing Incidence Data on population-based long-term trends are scarce In order to establish fracture incidence and epidemiologic patterns, we carried out a population-based study in Helsinki, Finland All fractures in children aged 0 to 15 years were recorded from public health care institutions during a 12-month period in 2005 Details regarding patient demographics, fracture site, and trauma mechanism were collected All fractures were confirmed from radiographs Similar data from 1967, 1978, and 1983 were used for comparison In 2005, altogether 1396 fractures were recorded, 63% in boys The overall fracture incidence was 163 per 10,000 Causative injuries consisted of mainly falls when running or walking or from heights less than 1 5 m Fracture incidence peaked at 10 years in girls and 14 years in boys An increase in fracture incidence was seen from 1967 to 1983 (24%, p < 0001), but a significant decrease (18%, p < 0001) was seen from 1983 to 2005 This reduction was largest in children between the ages of 10 and 13 years Despite the overall decrease and marked decrease in hand (-39%, p < 0001) and foot (-48%, p < 0001) fractures, the incidence of forearm and upper arm fractures increased significantly by 31% (p < 0001) and 39% (p = 021), respectively Based on these findings, the overall incidence of childhood fractures has decreased significantly during the last two decades Concurrently, the incidence of forearm and upper arm fractures has increased by one-third The reasons for these epidemiologic changes remain to be elucidated in future studies (C) 2010 American Society for Bone and Mineral Research