Multicenter epidemiological analysis of related factors in 10,808 hospitalized children with lower limb and pelvic fractures in China

To analyze the causes, locations, associated injuries, and relevant factors of lower limb and pelvic fractures in hospitalized children in China to provide a theoretical basis for reducing the incidence of such fractures. A retrospective analysis of children with lower limb and pelvic fractures admitted to 27 tertiary children's hospitals affiliated with China's Futang Research Center of Pediatric Development between December 1, 2015, and December 31, 2019, was conducted. Inpatient cases were analyzed in the following age groups: Infants (< 2 years), Preschool children (2-5 years), School children (6-11 years), and Adolescents (12-18 years). This study included 10,808 pediatric patients (7152 males, 3656 females). The proportion of preschool children of lower limb and pelvic fractures was the highest. The 10,808 patients sustained a total of 14,398 fractures. The shafts of the femur, tibia, and fibula, the distal tibia, distal fibula, and the pelvis were the six most common locations. Of the 734 pelvic fractures in children and adolescents, the top three locations were the ilium, pubic bone, and the ischium. Of the total patients, 9599 underwent surgery, while 1209 received non-surgical treatment. The three most common causes of pediatric lower limb and pelvic fractures were falling over, traffic accidents, and falling from a height. Among the 1806 concomitant traumas, respiratory traumas was the most common, mainly pulmonary contusion. The most common concomitant traumas of nervous, digestive and urinary system were scalp hematoma, liver injury and kidney injury respectively. The analysis of the location, age, causes, and concomitant injuries of lower limb and pelvic fractures showed that the most common fracture requiring hospitalization was tibia fracture, which was most common in preschool children. The most common cause of injury in preschool children was traffic accident. In addition, children are susceptible to accidental injuries from multiple sources in life, which can cause serious consequences of multi-system injuries.

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Publication Details

Journal
Scientific Reports
Published
2024-11-13
DOI
https://doi.org/10.1038/s41598-024-77970-x
Citations
4
Primary Topic
Pelvic and Acetabular Injuries
Type
article
Field-Weighted Citation Impact
2.29

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article

Multicenter epidemiological analysis of related factors in 10,808 hospitalized children with lower limb and pelvic fractures in China

Shuaiyin Wang, Chao You, Li Gao, Xin Xu et al.
4 citations
Scientific Reports
Pelvic and Acetabular Injuries
2.29
article

Multicenter epidemiological analysis of related factors in 10,808 hospitalized children with lower limb and pelvic fractures in China

Shuaiyin Wang, Chao You, Li Gao, Xin Xu, Daqiao Zhu, Fengmei Ma, Waiguang Hu, Hansheng Deng, Jinchi Shi, Chuming Yan, Leonardo Antonio Sechi, Yueping Zeng, Zhenqiang Da, Shaoqian Liu, Qinghong He, Fei Song, Yuanyi Qu, Guoshuang Feng, Tianfeng Zhu, Lianjun Ruan, Zhijun Pan, Zhenkun Gu, Qisong Yang, Guosong Wang, Xirong Chen, Shizhe Liu, Shu Mai, Jun Zhou, Guibing Fu, Gianfilippo Caggiari, Ling Dai, Xin Qiu, Yuzheng Zhang, Jian Ding, Jian Fang, Hang Sun, Haoran Feng, Jianlin Chen, Tingting Zhang, Xinyu Wang, Li Li, Xiaoqin Wang, Jiahui Li, Mei Wu, Gen Liu, Xiaomei Chen, Hongcheng Liu, Zhengyu Wu, Zilong Huang, Yang Lei, Jian Du, Chunxiang Wang, Jin Xu, Jian Tian, Wenjuan Wang, Haibin Zhou
article en
4 citations

Abstract

To analyze the causes, locations, associated injuries, and relevant factors of lower limb and pelvic fractures in hospitalized children in China to provide a theoretical basis for reducing the incidence of such fractures. A retrospective analysis of children with lower limb and pelvic fractures admitted to 27 tertiary children's hospitals affiliated with China's Futang Research Center of Pediatric Development between December 1, 2015, and December 31, 2019, was conducted. Inpatient cases were analyzed in the following age groups: Infants (< 2 years), Preschool children (2-5 years), School children (6-11 years), and Adolescents (12-18 years). This study included 10,808 pediatric patients (7152 males, 3656 females). The proportion of preschool children of lower limb and pelvic fractures was the highest. The 10,808 patients sustained a total of 14,398 fractures. The shafts of the femur, tibia, and fibula, the distal tibia, distal fibula, and the pelvis were the six most common locations. Of the 734 pelvic fractures in children and adolescents, the top three locations were the ilium, pubic bone, and the ischium. Of the total patients, 9599 underwent surgery, while 1209 received non-surgical treatment. The three most common causes of pediatric lower limb and pelvic fractures were falling over, traffic accidents, and falling from a height. Among the 1806 concomitant traumas, respiratory traumas was the most common, mainly pulmonary contusion. The most common concomitant traumas of nervous, digestive and urinary system were scalp hematoma, liver injury and kidney injury respectively. The analysis of the location, age, causes, and concomitant injuries of lower limb and pelvic fractures showed that the most common fracture requiring hospitalization was tibia fracture, which was most common in preschool children. The most common cause of injury in preschool children was traffic accident. In addition, children are susceptible to accidental injuries from multiple sources in life, which can cause serious consequences of multi-system injuries.

Scientific ReportsVol. 14(1)
University of Sassari (IT), Capital Medical University (CN), Dalian Medical University (CN), Chinese Academy of Sciences (CN), Shantou University (CN), Qinghai University Affiliated Hospital (CN), Liuzhou Maternal and Child Health Hospital (CN), Nanjing Children's Hospital (CN), Kunming Children's Hospital (CN), Urumqi 4th People's Hospital (CN), Qinghai No.3 People's Hospital (CN), Gansu Provincial Maternal and Child Health Hospital (CN), Shantou University Medical College (CN), Inner Mongolia People's Hospital (CN), Anhui Provincial Center for Disease Control and Prevention (CN), Inner Mongolia Medical College Hospital (CN), Dalian Maternal and Child Health Hospital (CN), Hunan Children's Hospital (CN), Wuhan Children's Hospital (CN), The First People's Hospital of Guiyang (CN), Beijing Children’s Hospital (CN), Anhui Provincial Children's Hospital (CN), Shanxi Provincial Children's Hospital (CN), Shenzhen Children's Hospital (CN), Liaocheng People's Hospital (CN), Hangzhou Children's Hospital (CN), Inner Mongolia Medical University (CN)
Sanming Project of Medicine in Shenzhen
Good health and well-being
Openalex Percentile: Top 11%
Pelvic and Acetabular Injuries
2.29
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