Department of Orthopaedics and Traumatology, Tepecik Training and Research Hospital, İzmir, Turkey.
Department of Orthopaedics and Traumatology, Serik State Hospital, Antalya, Turkey.
Acta Orthop Traumatol Turc. 2023 Sep;57(5):267-270. doi: 10.5152/j.aott.2023.23109.
This study aimed to examine the average duration of school absence according to the type of fracture and the factors affecting the duration of absence in children who had difficulty going to school after an acute orthopedic injury.
Patients between the ages of 6 and 17 who applied to the emergency department of our hospital and were treated for orthopedic trauma during a teaching period between September 2022 and December 2022 were examined. This study was designed prospectively. All school-aged patients with upper or lower extremity fractures requiring hospitalization or outpatient treatment were included in this study. Information about school absences and school starting dates were recorded at the outpatient clinical presentations of these patients.
A total of 126 patients were included in this study. The mean age of the patients was 11.7 (range=6-17) years. The gender ratio was determined as F/M=20/106. The average time absent from school was 14.7 (range=2-61) days. Distal radius fractures were the most common upper extremity fractures; the mean time away from school was 7.9 days. In lower extremity fractures, lateral malleolar fracture was the most common complaint, and the mean duration of absence was calculated as 21.8 days. The periods of absence were mainly determined by the family or the child.
One of the critical findings in this study was that rest periods were primarily determined by the parents and/or the child and not by the physician. The need to use crutches and/or transportation difficulties were other reasons for the absence. For these reasons, teachers and school management should be sensitive to the adverse effects of absenteeism on the child's success and provide facilitating support and home education opportunities when necessary.
Level II, Prognostic study.
本研究旨在探讨因急性骨科损伤而难以上学的儿童中，根据骨折类型和影响缺课时间的因素，分析其平均缺课时间。
对 2022 年 9 月至 12 月期间在我院急诊科就诊并接受骨科外伤治疗的 6-17 岁患者进行研究。本研究为前瞻性设计。所有需要住院或门诊治疗的上肢或下肢骨折的学龄儿童均纳入本研究。在这些患者的门诊就诊时记录他们的缺课和开学日期的信息。
本研究共纳入 126 例患者。患者的平均年龄为 11.7 岁（范围 6-17 岁），男女比例为 20/106。桡骨远端骨折是最常见的上肢骨折，平均缺课时间为 7.9 天。在下肢骨折中，最常见的是外踝骨折，平均缺课时间为 21.8 天。缺课时间主要由家庭或孩子决定。
本研究的一个重要发现是，休息时间主要由父母和/或孩子决定，而不是由医生决定。需要使用拐杖和/或交通困难是导致缺课的其他原因。因此，教师和学校管理层应关注缺课对孩子成功的不利影响，并在必要时提供促进支持和家庭教育机会。
II 级，预后研究。
