Upper limb pediatric fractures in 22 tertiary children's hospitals, China: a multicenter epidemiological investigation and economic factor analysis of 32,832 hospitalized children

作者：Xin Qiu, Hansheng Deng, Zhenhui Zhao, Shuaidan Zeng, Yueping Zeng, Xinyu Wang, Hui Xu, Weiqing Li, Xiaodi Chen, Qisong Yang, Jiaxin Zhao, Shicheng Li, Zhiwen Cui, Yu Tang, Shuting Cui, Min Liu, Yiyuan Sun, Guoshuang Feng, Gen Tang, Zhu Xiong, Shengping Tang · 发表于：Journal of Orthopaedic Surgery and Research · 年份：2022 · DOI：10.1186/s13018-022-03159-5 · 被引用次数：23 · 研究领域：Bone fractures and treatments、Elbow and Forearm Trauma Treatment、Orthopedic Surgery and Rehabilitation

BACKGROUND: Fractures are the most common type of unintentional injury in children, with traumatic upper limb fractures accounting for approximately 80% of all childhood fractures. Many epidemiological investigations of upper limb fractures in children have been conducted, but with the development of society, the patterns of childhood fractures may have changed. This study aimed to analyze the epidemiology and economic cost factors of upper limb fractures in Chinese children. METHODS: We retrospectively reviewed children with upper limb fractures or old upper limb fractures hospitalized between December 1, 2015, and December 31, 2019, in 22 tertiary children's hospitals, under China's Futang Research Center of Pediatric Development. We used the ICD10 codes on the front sheet of their medical records to identify cases and extracted data on age, sex, injury cause, fracture site, treatment, the year of admission and discharge, visiting time, and various costs during hospitalization from the medical record. RESULTS: A total of 32,439 children (21,478 boys and 10,961 girls) were identified, of whom 32,080 had fresh fractures and 359 had old fractures. The peak age was 3-6 years in both sexes. A total of 4788 were infants, 14,320 were preschoolers, 10,499 were in of primary school age, and 2832 were adolescent. Fractures were most frequent in autumn (August to October). Admissions peaked at 0 o'clock. Among the 32,080 children with fresh upper limb fractures, the most common fractu...