Time trends in pediatric hand fracture incidence in Malmö, Sweden, 1950–2016
| Autor: | Vasileios Lempesis, Magnus Karlsson, Björn E. Rosengren, Erika Bergman, Lars Jehpsson |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty lcsh:Diseases of the musculoskeletal system Joinpoint Time Factors Etiology Epidemiology Girls 03 medical and health sciences Fractures Bone 0302 clinical medicine Sex Factors lcsh:Orthopedic surgery Medicine Humans Orthopedics and Sports Medicine 030212 general & internal medicine Child Carpal fractures Children Sweden 030222 orthopedics Boys business.industry Time trends Incidence (epidemiology) Incidence Age Factors Hand Injuries Hand Confidence interval lcsh:RD701-811 Health Planning Hand fracture Hand Bones Orthopedic surgery Surgery Female lcsh:RC925-935 business Fractures Demography Research Article |
| Zdroj: | Journal of Orthopaedic Surgery and Research Journal of Orthopaedic Surgery and Research, Vol 16, Iss 1, Pp 1-11 (2021) |
| ISSN: | 1749-799X |
| Popis: | Background The hand is the second most fractured region in children. It is therefore important to update fracture epidemiology to be able to identify time trends for adequate health care planning. This study reports pediatric hand fracture incidence 2014–2016 and, using published data, also long-term time trends in 1950–2016. Patients and methods The Swedish city of Malmö, with 328,494 inhabitants in 2016, has only one hospital. We used the hospital radiological archive, medical charts, and diagnosis registry to identify hand fractures in city residents Results In 2014–2016 phalangeal fractures accounted for 71% of all hand fractures, metacarpal fractures for 24%, and carpal fractures for 5%. We identified 615 hand fractures (419 in boys and 196 in girls) during 181,617 person-years in 2014–2016, resulting in an unadjusted pediatric hand fracture incidence of 339/100,000 person-years (boys 452/100,000 person-years and girls 220/100,000 person-years). The age-adjusted incidence 2014–2016 was similar to 2005–2006, the most recently evaluated period (IRR in boys 0.9; 95% CI 0.8 to 1.01, and in girls 1.0; 95% CI 0.8 to 1.2). Looking at the entire period 1950–2016, we found that age-adjusted incidence increased in 1950–1979, in boys by APC + 3.8%; 95% CI 3.0 to 4.5 and in girls by + 3.9%; 95% CI 2.8 to 5.0, but decreased in 1979–2016, in boys by − 0.7%; 95% CI − 1.4 to − 0.003, and girls by − 1.3%; 95% CI − 2.4 to − 0.1. Conclusions Phalangeal fractures accounted for about three quarters of all hand fractures. The age-adjusted hand fracture incidence increased in both sexes in 1950–1979 and decreased in 1979–2016. Level of evidence III |
| Databáze: | OpenAIRE |
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