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Traumatic fractures as a result of falls in children and adolescents A retrospective observational study
Wang HW(王洪伟); Yu HL(于海龙); Zhou Y(周跃); Li CQ(李长青); Liu J(刘军); Ou L(欧兰); Zhao YW(赵忆文); Song GL(宋国立); Han JD(韩建达); Chen Y(陈语); Xiang LB(项良碧)
作者部门机器人学研究室
关键词Adolescent Children Fall Fracture Nerve Injury
发表期刊MEDICINE
ISSN0025-7974
2017
卷号96期号:37页码:1-7
收录类别SCI
WOS记录号WOS:000410887400020
产权排序1
资助机构Foundation of the State Key Laboratory of Robotics [2017-O01] ; Foundation of the State Key Laboratory of Materials Processing and Die & Mould Technology [P2018-011] ; Open Project Program of the State Key Laboratory of CADCG [A1718] ; Liaoning Province Doctor Startup Fund [201601389] ; Research Foundation about Clinical Diagnosis and Treatment of Anaemia for Young Physician [LIM-SS-16001]
摘要

The aim of this study is to investigate the incidence and pattern of traumatic fractures (TFs) as a result of falls in a population of children and adolescents (<= 18 years old) in China. This was a cross-sectional study. We retrospectively reviewed 1412 patients who were children and adolescents with TFs as a result of falls admitted to our university-affiliated hospitals in China from 2001 to 2010. Etiologies included high fall (height >= 2) and low fall (height<2m). The incidence and pattern were summarized with respect to different age groups, year of admission, etiologies, genders, and the neurological function. This study enrolled 1054 males (74.6%) and 358 females (25.4%) aged 10.8 +/- 4.7 years. The etiologies were low fall (1059, 75.0%) and high fall (353, 25.0%). There were 2073 fractures in total and 92 patients (6.5%) presented with multiple fractures. The most common fracture sites were upper extremity fractures in 814 patients (57.6%) and lower extremity fractures in 383 patients (27.1%), followed by craniofacial fractures in 233 patients (16.5%). A total of 231 (16.4%) patients suffered a nerve injury. The frequencies of early and late complications/associated injuries were 19.5% (n= 275) and 9.2% (n= 130). The frequencies of emergency admission, nerve injury, spinal fracture, lower extremity fractures, craniofacial fracture, sternum and rib fracture, and early complications/ASOIs were significantly larger in high fall than low fall (all P<.001, respectively). The frequencies of medical insurance rate (P=.042) and upper extremity fractures (P<.001) were significantly larger in low fall than high fall. The frequencies of spinal fracture (P=.039), lower extremity fractures (P=.048), and craniofacial fracture (P=.041) were significantly larger in female than the male patients. The frequency of upper extremity fractures (P<.001) and the mean age (P<.001) was significantly larger in male than female patients. The frequencies of emergency admission, high fall, spinal fracture, and craniofacial fracture were significantly larger in patients with nerve injury than other patients without nerve injury (all P<.001, respectively). Low falls and upper extremity fractures were the most common etiologies and sites, respectively. High fall, spinal fracture and craniofacial fracture were risk factors for nerve injury. Therefore, we should focus on patients who were caused by high fall and presented with spinal and craniofacial fracture to determine the presence of a nerve injury so that we can provide early, timely diagnosis and targeted treatment to children.

语种英语
WOS标题词Science & Technology ; Life Sciences & Biomedicine
WOS类目Medicine, General & Internal
关键词[WOS]Childhood Injuries ; Windows ; Epidemiology ; Heights ; Burden ; Sweden ; Age
WOS研究方向General & Internal Medicine
引用统计
被引频次:2[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.sia.cn/handle/173321/21108
专题机器人学研究室
通讯作者Wang HW(王洪伟); Chen Y(陈语)
作者单位1.Department of Orthopedics, General Hospital of Shenyang Military Area Command of Chinese PLA
2.State Key Laboratory of Robotics, Shenyang Institute of Automation, Chinese Academy of Science, Shenyang, Liaoning
3.State Key Laboratory of Materials Processing and Die & Mould Technology, Huazhong University of Science and Technology, Wuhan, Hubei
4.Department of Orthopedics, Xinqiao Hospital
5.Department of Radiology, Southwest Hospital, The Third Military Medical University, Chongqing 400038, China
推荐引用方式
GB/T 7714
Wang HW,Yu HL,Zhou Y,et al. Traumatic fractures as a result of falls in children and adolescents A retrospective observational study[J]. MEDICINE,2017,96(37):1-7.
APA Wang HW.,Yu HL.,Zhou Y.,Li CQ.,Liu J.,...&Xiang LB.(2017).Traumatic fractures as a result of falls in children and adolescents A retrospective observational study.MEDICINE,96(37),1-7.
MLA Wang HW,et al."Traumatic fractures as a result of falls in children and adolescents A retrospective observational study".MEDICINE 96.37(2017):1-7.
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