Patrones de incidencia en la Infancia y la Adolescencia de fracturas ortopedicas según grupos de edad y Estaciones en Corea del Sur: Un estudio poblacional.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3758984/

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Clin Orthop Surg. Sep 2013; 5(3): 161–166.

Published online Aug 20, 2013. doi:  10.4055/cios.2013.5.3.161

PMCID: PMC3758984

Incidence Patterns of Pediatric and Adolescent Orthopaedic Fractures According to Age Groups and Seasons in South Korea: A Population-Based Study

Moon Seok Park, MD, Chin Youb Chung, MD, In Ho Choi, MD,* Tae Won Kim, MD,† Ki Hyuk Sung, MD,‡ Seung Yeol Lee, MD, Sang Hyeong Lee, MD,§ Dae Gyu Kwon, MD,∥ Jung Woo Park, MD,‡ Tae Gyun Kim, MD, Young Choi, MD,Tae-Joon Cho, MD,* Won Joon Yoo, MD,* and Kyoung Min Lee, MD

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Abstract

Background

Fractures which need urgent or emergency treatment are common in children and adolescents. This study investigated the incidence patterns of pediatric and adolescent orthopaedic fractures according to age groups and seasons in South Korea based on population data.

Methods

Data on the number of pediatric and adolescent patients under the age of 18 years who utilized medical services due to fractures were retrieved from the Health Insurance Review and Assessment service in South Korea. The data included four upper extremity and two lower extremity fractures according to four age groups (0-4 years, 5-9 years, 10-14 years, and 15-18 years). Incidences of the fractures were calculated as the incidence per 10,000 per year, and patterns according to age groups and seasons were demonstrated.

Results

The annual incidence of clavicle, distal humerus, both forearm bone, distal radius, femoral shaft and tibial shaft fractures were 27.5, 34.6, 7.7, 80.1, 2.5, and 9.6 per 10,000 per year in children and adolescents, respectively. Clavicle and distal radius fractures showed significant seasonal variation for all age groups but femoral shaft fracture showed no significant seasonal variation for any of the age groups.

Conclusions

The four upper extremity fractures tended to show greater variations than the two lower extremity fractures in the nationwide database in South Korea. The study results are believed to be helpful in the planning and assignment of medical resources for fracture management in children and adolescents.

Keywords: 

Abstract

Background

Fractures which need urgent or emergency treatment are common in children and adolescents. This study investigated the incidence patterns of pediatric and adolescent orthopaedic fractures according to age groups and seasons in South Korea based on population data.

Las fracturas que necesitan tratamiento urgente o de emergencia son comunes en niñosy adolescentes. Este estudio investigó los patrones de incidencia de fracturasortopédicos pediátricos y adolescentes de acuerdo con los grupos y las temporadas de edad en Corea del Sur sobre la base de los datos de población.

Methods

Data on the number of pediatric and adolescent patients under the age of 18 years who utilized medical services due to fractures were retrieved from the Health Insurance Review and Assessment service in South Korea. The data included four upper extremity and two lower extremity fractures according to four age groups (0-4 years, 5-9 years, 10-14 years, and 15-18 years). Incidences of the fractures were calculated as the incidence per 10,000 per year, and patterns according to age groups and seasons were demonstrated.

Results

The annual incidence of clavicle, distal humerus, both forearm bone, distal radius, femoral shaft and tibial shaft fractures were 27.5, 34.6, 7.7, 80.1, 2.5, and 9.6 per 10,000 per year in children and adolescents, respectively. Clavicle and distal radius fractures showed significant seasonal variation for all age groups but femoral shaft fracture showed no significant seasonal variation for any of the age groups.

Conclusions

The four upper extremity fractures tended to show greater variations than the two lower extremity fractures in the nationwide database in South Korea. The study results are believed to be helpful in the planning and assignment of medical resources for fracture management in children and adolescents.
Keywords: Incidence, Seasonal variation, Pediatric and adolescent, Fracture


Resultados

La incidencia anual de la clavícula, húmero distal, tanto hueso del antebrazo, el radiodistal, diáfisis femoral y fracturas de la diáfisis tibial fueron 27.5, 34.6, 7.7, 80.1, 2.5 y 9.6por 10.000 por año en niños y adolescentes, respectivamente. Clavícula y fracturas del radio distal mostraron variación estacional significativa para todo público pero fractura de la diáfisis femoral no mostraron variación estacional significativa para ninguno de losgrupos de edad.

Conclusiones

Los cuatro fracturas de las extremidades superiores tienden a mostrar mayores variaciones que las dos fracturas de extremidades inferiores en la base de datos a nivel nacional en Corea del Sur. Los resultados del estudio se cree que son útiles en la planificación y asignación de recursos médicos para el tratamiento de fracturas en niños y adolescentes.

Palabras clave: incidencia, la variación estacional, pediátricos y adolescentes, Fractura