Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, Roma, 200 - 00128, Italy.
Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, Roma, 21 - 00128, Italy.
BMC Pediatr. 2022 Apr 29;22(1):235. doi: 10.1186/s12887-022-03302-5.
The epidemiology of Pediatric Hip Arthroplasty (PHA) is unclear. Prevalence of PHA in Europe was reported in Scandinavian registries, but data on this procedure are not described in other countries. Therefore, it is challenging to redact a complete and valid epidemiological report on PHA in Europe. Nevertheless, national health statistics for PHA are helpful for an international audience, as different treatments are reported between countries. Moreover, sharing national statistics and correlating those to other countries' protocols could be helpful to compare outcomes for different procedures internationally. The principal purpose is to evaluate the yearly hospital admission for PHA in Italy.
Data of this study were collected from the National Hospital Discharge Reports (SDO) reported at the Italian Ministry of Health.
From 2001 to 2015, 770 PHA hospitalizations were performed in Italy, with an incidence of 0.5 procedures for every 100,000 pediatric Italian inhabitants. The average age of patients was 15.2 ± 4.6 years. The mean length of days of hospitalization was 10.9 ± 8.6 days. The majority of patients were male of 15-19 years old age group. A progressive decrease in days of hospitalizations was found during the years of the study.
In Europe, the incidence of hospital admission for PHA is not fully described. There is a lack of consensus on the best type of surgery to perform on young patients. Epidemiological studies are helpful to understand the national variation of a specific surgical procedure and compare them with other countries.
小儿髋关节置换术（PHA）的流行病学情况尚不清楚。斯堪的纳维亚登记处报告了欧洲 PHA 的流行情况，但其他国家并未描述该手术的数据。因此，很难编写一份完整且有效的关于欧洲 PHA 的流行病学报告。然而，PHA 的国家卫生统计数据对国际受众很有帮助，因为各国报告的治疗方法不同。此外，分享国家统计数据并将其与其他国家的方案进行关联，有助于在国际上比较不同手术的结果。本研究的主要目的是评估意大利每年 PHA 的住院人数。
本研究的数据来自意大利卫生部报告的国家住院报告（SDO）。
2001 年至 2015 年，意大利共进行了 770 例 PHA 住院手术，每 10 万意大利儿科居民中有 0.5 例。患者的平均年龄为 15.2±4.6 岁。平均住院天数为 10.9±8.6 天。大多数患者为 15-19 岁的男性。在研究期间，住院天数呈逐渐减少的趋势。
在欧洲，PHA 住院的发病率尚未完全描述。对于年轻患者应采用哪种最佳手术类型存在争议。流行病学研究有助于了解特定手术的国家差异，并与其他国家进行比较。
