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儿童和青少年骨科创伤的流行病学及模式:对伤害预防的启示

Epidemiology and Pattern of Orthopedic Trauma in Children and Adolescents: Implications for Injury Prevention.

作者信息

Alqarni Mahdi Mofarah, Alaskari Abdullah A, Al Zomia Ahmed S, Moqbil Abdulrahman M, Alshahrani Yazeed S, Lahiq Lama, Alshahrani Shatha S, Alqahtani Ali A, Alqarni Abdulrhman M

机构信息

Department of Pediatric Orthopedics, Abha Maternity and Children Hospital, Abha, SAU.

College of Medicine, King Khalid University, Abha, SAU.

出版信息

Cureus. 2023 May 25;15(5):e39482. doi: 10.7759/cureus.39482. eCollection 2023 May.

DOI:10.7759/cureus.39482
PMID:37378247
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10291956/
Abstract

BACKGROUND

Orthopedic injuries are prevalent in children and can result in hospitalization and damage. The number of accidental injuries among children increases every year, leading to a huge burden on communities and health institutions.

AIM

This study aimed to assess the epidemiological pattern of orthopedic trauma among children and adolescents in Abha, Saudi Arabia.

METHODS

A retrospective record-based study was carried out to investigate the epidemiological pattern of orthopedic trauma among children and adolescents treated at Abha Maternity and Children Hospital in Saudi Arabia, a traumatic center for pediatric patients. The study covered all children and adolescents treated at the hospital for orthopedic trauma. The parents of the children and adolescents were called to get their consent to participate in the study. The following data were extracted from the medical files: personal information, medical history, trauma-related details, management, hospitalization, and complications.

RESULTS

A total of 295 children and adolescents were included. The mean ± standard deviation age was 6.8 ± 3.1 years old (range 1 month to 13 years). Of the patients, 186 (63.1%) were male. The most reported causes of traumas were fall from height (48.1%) and injury while playing (19.7%). The most affected body parts included the forearm (22.4%), head (21.7%), thigh (20%), and leg (10.8%). The vast majority of the children and adolescents (87.1%) had no complications.

CONCLUSION

The current study revealed that pediatric orthopedic injuries are not rare, and there is a higher likelihood of injuries among young male children. Fall from height and play-associated injuries are the most frequent causes.

摘要

背景

骨科损伤在儿童中很常见,可能导致住院和损伤。儿童意外伤害的数量逐年增加,给社区和卫生机构带来了巨大负担。

目的

本研究旨在评估沙特阿拉伯阿卜哈市儿童和青少年骨科创伤的流行病学模式。

方法

开展了一项基于回顾性记录的研究,以调查在沙特阿拉伯阿卜哈市妇产儿童医院(一家儿科创伤中心)接受治疗的儿童和青少年骨科创伤的流行病学模式。该研究涵盖了在该医院接受骨科创伤治疗的所有儿童和青少年。研究人员致电儿童和青少年的父母,征得他们参与研究的同意。从医疗档案中提取了以下数据:个人信息、病史、创伤相关细节、治疗、住院情况和并发症。

结果

共纳入295名儿童和青少年。平均年龄±标准差为6.8±3.1岁(范围为1个月至13岁)。其中186名(63.1%)患者为男性。报告最多的创伤原因是高处坠落(48.1%)和玩耍时受伤(19.7%)。受影响最严重的身体部位包括前臂(22.4%)、头部(21.7%)、大腿(20%)和腿部(10.8%)。绝大多数儿童和青少年(87.1%)没有并发症。

结论

当前研究表明,儿童骨科损伤并不罕见,年幼男性儿童受伤的可能性更高。高处坠落和与玩耍相关的损伤是最常见的原因。

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