Epidemiology of paediatric lower extremity fractures in a tertiary care center in Switzerland

Chaibi, Emmélie; Zambelli, Pierre‐Yves; Merckaert, Sophie

doi:10.1007/s00068-020-01400-6

Cited by 8 publications

(13 citation statements)

References 35 publications

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“…9 The difference in our findings can potentially be explained by the inclusion of patients presenting to ambulatory sites in the study by Bram et al and also the consolidation of wrist and hand fractures in our data rather than just distal radius fractures alone. 6 However, our noted increases in upper extremity orthopaedic injuries during the pandemic could be due to increased participation in activities at home that led to upper extremity blunt force trauma or falls on the upper extremity compared with previous years. Overall, our decrease in overall orthopaedic injuries and procedures performed is consistent with previous reports on pediatric injuries during the pandemic.…”

Section: Discussionmentioning

confidence: 72%

“…Children, in particular, had to adapt to life without in-person schooling, sporting events, and other group activities for long periods of time. In an effort to slow the spread of the virus, the government stopped or closed down some of the most common locations at which orthopaedic injuries were sustained in the pediatric population, [4][5][6] which this study has shown has changed injury mechanisms, injury types, and distribution of types of orthopaedic procedures performed. We have also seen rises in the numbers of pediatric patients who were victims of abuse, presented with positive drug screens, and died in the hospital.…”

Section: Discussionmentioning

confidence: 99%

“…and extracurricular events including organized sports were halted, forcing children to spend more time at home away from these locations where injuries in children are commonly sustained. [4][5][6] Given the shift away from congregant settings, injury patterns in the pediatric population could have been greatly affected. Studies are starting to detail changes in pediatric orthopaedic injury patterns during the pandemic, but all previous studies have been conducted in single center or international settings or did not describe details related to hospitalizations.…”

mentioning

confidence: 99%

“…Schools were closed, and extracurricular events including organized sports were halted, forcing children to spend more time at home away from these locations where injuries in children are commonly sustained. 4-6…”

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confidence: 99%

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The Effect of COVID-19 on Pediatric Traumatic Orthopaedic Injuries: A Database Study

2022

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Introduction: Stay-at-home orders and other social distancing restrictions had a profound effect on the lives of children during the pandemic. This study characterizes pediatric orthopaedic injuries and in-hospital outcomes during the COVID-19 pandemic and compares them with pre-COVID patterns. Methods: A retrospective review of pediatric patients presenting to hospitals with Pennsylvania Trauma Systems Foundation designations was performed. All patients younger than 18 years who presented with orthopaedic injuries were included. Patient demographics, injuries, hospital stays, and mortality were compared between the COVID and pre-COVID cohorts. Results: Overall, 1112 patients were included. During the pandemic, more injuries occurred at home (44.7% versus 54.9%, P = 0.01) and fewer at sporting areas, parks, and pools (7.8% versus 1.6%, P , 0.01) as well as at schools (3.4% versus 0.5%, P = 0.03). Injuries caused by child abuse were more prevalent during the pandemic (5.6% versus 11.0%, P , 0.01). Finally, the COVID cohort had a longer mean hospital length of stay (3.1 versus 2.4 days, P = 0.01), higher mean number of ICU days (1.0 versus 0.7 days, P = 0.02), and higher mortality rate (3.8% versus 1.3%, P = 0.02). Discussion: Pediatric patients sustained injuries in differing patterns during the pandemic, but these led to worse hospital outcomes, including higher mortality rates.T he COVID-19 pandemic has placed continued stress on patients and hospital systems across the United States. The increased time and economic burden caused by the increasing number of patients with severe acute respiratory syndrome coronavirus 2 has highlighted the need for more resources and better action plans. 1 Early in the pandemic, state and local governments placed stay-at-home orders and other social distancing restrictions, all aimed at curbing the spread of the virus. 2,3 Although this had a profound effect on the lives of the entire population, children, in particular, were forced to alter their lives drastically. Schools were closed,

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Section: Discussionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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The Effect of COVID-19 on Pediatric Traumatic Orthopaedic Injuries: A Database Study

2022

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“…On the other hand, the previous research conducted by Chaibi et al and Liu et al focused on the epidemiology of lower extremity fractures in children. From their studies, the most common fracture site was tibial [6], [7]. About 20% of all fractures that happened in children were in lower extremities [6].…”

Section: Introductionmentioning

confidence: 99%

Profiles of Children with Lower Extremity Fracture at Saiful Anwar Malang Regional General Hospital from January 2016 to August 2020

Julana

Sananta

2022

Open Access Maced J Med Sci

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Musculoskeletal injuries in children are a common cause of 25% of children hospitalization. Previous research stated that five pediatric fractures had significant long-term consequences such as disability and activity restriction. In Indonesia, epidemiology studies have discussed the incidence of fracture in general sites, but only a few reported lower limb fractures. The authors expect this research to be used for lower extremities fractures in children’s epidemiologic descriptions. Between January 2016 until September 2020, we included 247 children under 18 years old based on inclusion criteria. The prevalence and fractures were reviewed for detail, such as sex, age, mechanism of injury, location of the fracture, and treatment. Data were analyzed using SPSS version 26. Most common injuries occur at 13-18 years old with 164 children (66.4%). Most of them were caused by traffic accidents, 210 cases (85.0%). Consequently, femur fractures are the most common fractures due to traffic accidents 53.8% (p<0.005). From common fracture sites in this study, plating is the common to use procedure than the others (52.3%). Therefore, we can conclude that MVA were the most common injury in children, and especially for fracture femur relevant with increasing age and plating methods is common to use method for this fracture

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Focus on pediatric skeletal trauma

Ridder

Marzi

2022

Eur J Trauma Emerg Surg

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Epidemiology of paediatric lower extremity fractures in a tertiary care center in Switzerland

Cited by 8 publications

References 35 publications

The Effect of COVID-19 on Pediatric Traumatic Orthopaedic Injuries: A Database Study

The Effect of COVID-19 on Pediatric Traumatic Orthopaedic Injuries: A Database Study

Profiles of Children with Lower Extremity Fracture at Saiful Anwar Malang Regional General Hospital from January 2016 to August 2020

Focus on pediatric skeletal trauma

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