Fall-related attendance and associated hospitalisation of children and adolescents in Hong Kong: a 12-year retrospective study

Lee, Chun Yin; Tung, Keith T. S.; Li, Tim M. H.; Ho, Frederick K; Ip, Patrick; Wong, Wilfred Hing Sang; Chow, C. L.

doi:10.1136/bmjopen-2016-013724

Cited by 12 publications

(12 citation statements)

References 31 publications

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“…Conversely, a recent population-based trend analysis of fall-related ED visits for fractures among children aged 0 to 19 years in Hong Kong reported that adjusted fracture rates increased at an annual percentage of 1.3% between 2001 and 2012, which contrast with the present study results. Although the reasons for the diverging trends found in this latter and our study remain to be elucidated, the overall upward trend in childhood ED visits for fall-related fractures in Hong Kong over the past decade may have been attributed to increased incidence of ankle/foot and wrist/hand fractures [8].…”

Section: Figure 3: Trends In Emergency Department Visits For Fall-relcontrasting

confidence: 53%

“…Notably, ED visits for fall-related forearm/wrist fractures in children significantly decreased during the study period. Moreover, a marked annual decrease in fracture rates by 2.4 % was seen from 2004 onwards, which contrasts with those reported in Scandinavian countries, Hong Kong, and Olmsted County, Minnesota [6,8,12,13]. Indeed, a registry study from southern Sweden demonstrated that the age-standardized distal forearm fracture rate increased by 2.2% per year between 1999 and 2010.…”

Section: Figure 3: Trends In Emergency Department Visits For Fall-relmentioning

confidence: 75%

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Trends in the U.S. Childhood Emergency Department Visits for Fall-Related Fractures, 2001–2015

Orces¹,

Orces²

2020

Cureus

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The study's objective is to examine national trends in emergency department visits for unintentional fallrelated fractures among children aged 0 to 19 years between 2001 and 2015. Methods The National Electronic Injury Surveillance System-All Injury Program was used to generate national estimates of fall-related fractures treated in emergency departments. Subsequently, according to demographic characteristics, body parts, and sport activities, age-adjusted fracture rates were calculated using the 2000 U.S. population as the standard. The joinpoint regression program was used to examine the average annual percent change in fracture rates during the study period. Results An estimated 7.9 million emergency department visits for fall-related fractures among U.S. children occurred between 2001 and 2015. Overall, upper extremity fractures accounted for 70% of the cases. Trend analyses demonstrated that fracture rates markedly decreased among children aged 10 to 15 years by-2.5% (95% C:-3.4% to-1.6%) per year. After adjusting for age, boys' fracture rates decreased annually by-1.9% (95% CI:-3.1% to-0.6%), whereas the average decrease in girls was less accentuated by-1.4% (95% CI:-1.8% to-1.0%) per year. Notably, forearm/wrist fracture rates decreased annually by-2.4% (95% CI:-2.9% to-1.9%) from 2004 onwards. In contrast, head and neck fracture rates significantly increased on average by 2.6% (95% CI: 1.3% to 3.9%) per year. Conclusion Childhood emergency department visits for fall-related fractures significantly decreased in the U.S. between 2001 and 2015. However, further research is needed to determine factors related to upward trends in head/neck fractures seen during the study period.

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Section: Figure 3: Trends In Emergency Department Visits For Fall-relcontrasting

confidence: 53%

Section: Figure 3: Trends In Emergency Department Visits For Fall-relmentioning

confidence: 75%

Trends in the U.S. Childhood Emergency Department Visits for Fall-Related Fractures, 2001–2015

Orces¹,

Orces²

2020

Cureus

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“…Similarly, admission to the ICU was significantly associated with chest, brain, abdomen and pelvis injuries, as well as other injuries. It has been reported that falls are the principal cause of non-fatal injuries among children and adolescents, contributing to 50% fall-related disability-adjusted life years (DALYs) lost worldwide [ 15 ]. It shows that the present study correlates with the previous literature in terms of most common fall-related injuries occurring amongst children and adolescents, which imposes a significant burden on healthcare system.…”

Section: Discussionmentioning

confidence: 99%

The interventions and outcomes associated with fall-related injuries at tertiary hospitals in the Kingdom of Saudi Arabia: a cross sectional study

Al-Ghamdi¹,

Alosaimi²,

Shihah³

et al. 2020

Pan Afr Med J

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Introduction fall-related injuries are an important health concern around the globe, imposing an immense economic burden. The aim of this study is to evaluate the interventions and outcomes associated with fall-related injuries in a tertiary hospital in the Kingdom of Saudi Arabia (KSA). Methods a cross-sectional study including 264 patients with fall-related injuries was conducted at the King Khalid Hospital and Prince Sultan Centre for Health Care and other hospitals in Al Kharj from March 01, 2019 to November 30, 2019. The patients were recruited, identified at the point of presentation to the emergency department and followed through the triage, admission and discharge processes. The researchers analysed the participant´s clinical notes on the electronic health record (EHR) to obtain information relevant to the study, including demographic information, the injury patterns and their management. Results most patients studied were children under the age of 10 (25.7%). The vast majority (96.9%) of patients fell from a height, while the rest fell from a height onto a sharp object. Most of them (90.9%) had experienced no shock symptoms. Upper limb injuries had the highest prevalence (37.8%), followed by lower limb injuries (22.7%), head injuries (19.7%) and skull fractures (13.6%). Invasive surgery, blood transfusions, admission to intensive care (ICU) and thoracostomy (chest tube) were required by 74%, 3%, 3% and 2% of patients, respectively. Conclusion fall-related injuries may result in invasive surgery, chest drain insertion, or ICU admission, increasing the burden on the healthcare system.

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“…According to the characteristics of injuries in different age groups, the government can implement targeted interventions in different crowds and then test the effectiveness of them [34]. For instance, to protect children from fall-related injuries, schools can install soft rubber and waterproof oor for schoolyards [35].…”

Section: Suggestions To Decision-makersmentioning

confidence: 99%

The Burden of the Current Curative Expenditure of Injury in Dalian, China-A study Based on "System of Health Accounts 2011"

Sun

Hu³

et al. 2020

Preprint

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Background: Injury is one of the major public health problems, which causes more than 5 million deaths in the world every year. Cases of specific types of injury put a tremendous threat to human health and also add a heavy medical burden on individuals and societies. This study was to calculate and analyze the current curative expenditure (CCE) of injury in Dalian and consequently to provide control strategies for decision-makers.Methodology: A total of 565 medical institutions were selected with multistage stratified cluster random sampling, containing 4,375,351 valid samples. Subsequently, the distribution of injury CCE in different dimensions (including age and site of injury) was analyzed under the framework of System of Health Accounts 2011(SHA 2011) using the established database.Results: There were increases from 32.36/100,000 in 2006 to 37.34/100,000 in 2017 and from 46.12/100,000 in 2006 to 54.48/100,000 in 2017 in urban and rural residents respectively. The study found that the CCE of injury in Dalian had reached 1572.73 million RMB, accounting for 7.45% of the total curative care expenditure. In the 15-25 age group, the cost of injury accounts for a larger proportion of CCE than other age groups. Among the injuries in different regions of the body, injuries to the spine, lower limb, head and foreign body entering cost the most.Conclusions: Dalian has a relatively serious burden of injury costs. The essential and primary goal is to reduce the cost and increase the benefit of attending to patients with injuries. Specific control strategies should be tilted toward the age group 15-25. Injuries to the spine, lower limb, head and foreign body entering also should be priorities of interventions.

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Fall-related attendance and associated hospitalisation of children and adolescents in Hong Kong: a 12-year retrospective study

Cited by 12 publications

References 31 publications

Trends in the U.S. Childhood Emergency Department Visits for Fall-Related Fractures, 2001–2015

Trends in the U.S. Childhood Emergency Department Visits for Fall-Related Fractures, 2001–2015

The interventions and outcomes associated with fall-related injuries at tertiary hospitals in the Kingdom of Saudi Arabia: a cross sectional study

The Burden of the Current Curative Expenditure of Injury in Dalian, China-A study Based on "System of Health Accounts 2011"

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