Epidemiology of trauma-related paediatric limb fracture using a unique classification: A 10-year retrospective, single-centre study
Epidemiology of trauma-related paediatric limb fracture using a unique classification: A 10-year retrospective, single-centre study
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使用独特分类的创伤相关儿童肢体骨折的流行病学：一项 10 年回顾性单中心研究
DOI：
10.1016/j.injury.2022.02.012
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发表时间：
2022
期刊：
影响因子：
2.5
通讯作者：
Yasutake Hidetoshi
中科院分区：
文献类型：
--
作者：
Hikichi Toshifumi;Takata Munetomo;Horii Takeshi;Shimanuki Keito;Suganuma Seigo;Toratani Tatsuhiro;Shimokawa Kanu;Yasutake Hidetoshi
关于儿科创伤流行病学的研究是有限的。使用我们独特的分类，我们描述了儿科创伤的情况下，在一个10年的单中心研究，以提高pediatric care.Materials和methodsData关于所有儿科创伤的情况下，提取使用计算机化的医疗记录系统，检测骨折诊断和骨骺损伤。登记检索识别了2008年1月至2017年12月的病例。年龄，性别，骨折的类型，和详细的损伤机制进行了分析，我们分类的“福尔斯/营业额”的机制，使用一个新的创伤能量分类的基础上的速度和heights.ResultsA共1379例（953名男孩和426名女孩）。受伤人数最多的是学童（6至10岁）（553例，40%）。前臂骨折最常见，其次是肱骨骨折。在福尔斯/翻身（969例，70%）中，最常见的损伤机制是运动（272例，28%）、运动场设备（179例，18%）、家具（102例，11%）和骑自行车（87例，9%）。我们使用创伤能量分类方案对956例福尔斯/翻身病例进行了分类。大多数病例（29%）被归类为L2类（低高度和高速），其次是L1类（低高度和低速）（p< 0.01）。子类分析使用的分类显示，年龄较小的儿童更容易受伤，从高处坠落，因为他们的体质，而年龄较大的儿童更容易受伤的营业额从较低的地方，在higherspeed.ConclusionWe详细描述了骨折的流行病学，并提出了一个新的分类系统，这可能有助于了解独立的儿童的身高的损伤机制。事实上，儿科骨折发生在相对较低的能量水平，并倾向于年龄，活动和性别，可能是潜在的普遍使用，其预防和家长教育。
IntroductionResearch regarding the epidemiology of paediatric trauma is limited. Using our unique classification, we describe paediatric trauma cases in a 10-year single-centre study to improve paediatric care.Materials and methodsData regarding all paediatric trauma cases were extracted using a computerised medical record system that detected fracture diagnosis and epiphyseal injury. Registry search identified cases from January 2008 to December 2017. Age, sex, type of fracture, and details of injury mechanism were analysed, and we categorised the ‘falls/turnover’ mechanism using a new trauma energy classification based on speed and height.ResultsA total of 1379 cases (953 boys and 426 girls) were included. The highest number of injuries (553 cases, 40%) was seen in school children (aged 6 to 10 years). Forearm fracture occurred most frequently, followed by humeral fracture. The most frequent injury mechanism in falls/turnover (969 cases, 70%) was sports in 272 cases (28%), playground equipment in 179 cases (18%), furniture in 102 cases (11%), and bicycling in 87 cases (9%). We classified 956 cases of falls/turnover using our trauma energy classification scheme. Most cases (29%) were classified into the L2 category (low height and high speed), followed by the L1 category (low height and low speed) (p< 0.01). Subcategory analysis using the classification revealed that younger children were more likely to be injured by falling from high places because of their physique, whereas older children were more likely to be injured by a turnover from lower places and at higher speed.ConclusionWe describe the epidemiology of fractures in detail and present a new classification system, which may aid in understanding the injury mechanism independent of children's height. The fact that paediatric fractures occur at relatively low energy levels and are trended by age, activity, and sex, could be of potential universal use for their prevention and parent education.