Epidemiology and the economic burden of pediatric fractures in China: A retrospective study of 14,141 fractures.

Jun 29, 2020

Contributor: Fei Song,Yueping Zeng,Jian Tian,Yaqi Lv,Guoshuang Feng,Xin Ni,

Previous studies have explored the epidemiology of fractures in children, however, differences in incidence over time and between countries and regions was noted. The purpose of the present study was to investigate the epidemiology and the economic burden of pediatric inpatients with fractures in China.
A total of 14,141 pediatric inpatients (≤18 years of age) with fractures were included in the present study. Information on the clinical characteristics of each patient were obtained from the home page of their medical records. Pediatric inpatients with fractures were defined as patients that were 18 years of age or younger, and were primarily diagnosed as having a fracture. One-way ANOVA was used to assess differences in the economic burden of the treatment of the fractures.
Pediatric fractures accounted for 32.6% of all injures children recorded in the medical records. Fractures were more common among boys than among girls. The majority of fractures occurred in children that were 6-12 years old. The most common fracture sites were the shoulders and upper arms (44.6%), followed by the elbow and forearm (21.23%). The leading cause of fractures were falling down (61.3%). The majority of fractures occurred in summer (30.3%). The cost of hospitalization increased with the age of the inpatients. Furthermore, fractures of the long bones of the extremities, and fractures caused by traffic accidents, usually incurred higher hospitalization costs. The cost of materials and treatment of the fractures were the key factor affecting the cost of hospitalization.
The occurrence of pediatric fractures is affected by age, gender, reason, season and fracture sites. Appropriate precautions should be taken to reduce the incidence of fractures in children.

Copyright © 2020. Published by Elsevier Inc.

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About The Expert

Fei Song

Department of Medical Record Management Office, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing Advanced Innovation Center for Big Data-Based Precision Medicine, Beihang University & Capital Medical University, 10045, China.

Yueping Zeng

Department of Medical Record Management Office, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing Advanced Innovation Center for Big Data-Based Precision Medicine, Beihang University & Capital Medical University, 10045, China.

Jian Tian

Hospital Administration Office, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing 100045, China.

Yaqi Lv

Department of Medical Record Management Office, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing Advanced Innovation Center for Big Data-Based Precision Medicine, Beihang University & Capital Medical University, 10045, China.

Guoshuang Feng

Big Data and Engineering Research Center, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing 100045, China.

Xin Ni

Big Data and Engineering Research Center, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing 100045, China; Department of Otolaryngology, Head and Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing 100045, China. Electronic address: nixin@bch.com.cn.

Medical Record Department, Dalian Children’s Hospital, Dalian, China; Information Department, Dalian Children’s Hospital, Dalian, China; Medical Record Department, Gansu Provincial Maternity and Child-care Hospital, Lanzhou, China; Medical Record Department, Guiyang Children’s Hospital, Guiyang, China; Information Center, Guiyang Children’s Hospital, Guiyang, China; Information Department, Hangzhou Children’s Hospital, Hangzhou, China; Information Center, Hunan Children’s Hospital, Hangzhou, China; Medical Record Department, Inner Mongolia Children’s Hospital, Hohhot, China; Information Department, Inner Mongolia Children’s Hospital, Hohhot, China; Medical Record Department, Jinan Children’s Hospital, Jinan, China; Information Department, Jinan Children’s Hospital, Jinan, China; Medical Record Department, Kunming Children’s Hospital, Kunming, China; Information Department, Kunming Children’s Hospital, Kunming, China; Medical Record Department, Liaocheng Children’s Hospital, Liaocheng, China; Information Department, Liaocheng Children’s Hospital, Liaocheng, China; Medical Record Department, Liuzhou Maternity and Child Healthcare Hospital, Liuzhou, China; Information Department, Liuzhou Maternity and Child Healthcare Hospital, Liuzhou, China; Medical Record Department, Nanjing Children’s Hospital, Nanjing, China; Information Department, Nanjing Children’s Hospital, Nanjing, China; Medical Record Department, Qinghai Children’s Hospital, Xining, China; Information Department, Qinghai Children’s Hospital, Xining, China; Department of Quality Control, Qinghai Children’s Hospital, Xining, China; Medical Record Department, Shanxi Children’s Hospital, Taiyuan, China; Information Center, Shanxi Children’s Hospital, Taiyuan, China; Medical Record Department, Shenzhen Children’s Hospital, Shenzhen, China; Information Department, Shenzhen Children’s Hospital, Shenzhen, China; Medical Record Department, Urumqi Children’s Hospital, Urumqi, China; Medical Record Department, Wuhan Children’s Hospital, Wuhan, China; Information Center, Wuhan Children’s Hospital, Wuhan, China; Medical Record Department, Anhui Children’s Hospital, Hefei, China; Information Center, Anhui Children’s Hospital, Hefei, China.

References

PubMed