Temporal variation in pediatric supracondylar humerus fractures requiring surgical intervention

Loder, Randall T.; Krodel, Emily E.; D’Amico, Kelly

doi:10.1007/s11832-012-0430-2

Cited by 5 publications

(6 citation statements)

References 24 publications

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“…A study from Indianapolis of operatively managed supracondylar fractures observed a statistically significant increase in fractures during the summer months, 19 a finding not replicated in our study which failed to demonstrate any significant correlation between month or season of injury. This is likely to be due to differences in climate; whilst Indianapolis has a humid continental climate with four distinct seasons typified by large seasonal temperature differences, South-East Queensland has a humid sub-tropical climate characterised by warm humid summer and mild to cool winters.…”

Section: Discussioncontrasting

confidence: 95%

“…1,4 So far, no study has found a significant association between supracondylar fractures and day of the week. 1,19,21 To date, no studies currently exist looking at temporal characteristics of supracondylar humerus fractures in an Australian population and few studies exist looking at both operatively and conservatively managed patients. To the best of our knowledge, no studies exist that compare characteristics of operatively and conservatively managed supracondylar humeral fractures.…”

Section: Discussionmentioning

confidence: 99%

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Temporal characteristics of paediatric supracondylar humerus fractures

McRae

Nusem

2017

Trauma

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Objective: Supracondylar humeral fractures are the most common elbow injury occurring in the paediatric population, accounting for 55-80% of all elbow fractures and 3-18% of all paediatric fractures. They occur most commonly due to a fall from play equipment or furniture. This study aims to determine if any relationship exists between supracondylar humeral fractures and any temporal or injury characteristics. It was hypothesised that an increased incidence of supracondylar fractures would be observed in summer months and on weekends. Methods: All patients <18 years of age with an isolated distal humerus supracondylar fracture between 2004 and 2014 were included in this study (n ¼ 569). Patient demographics and fracture characteristic data were collected. Hypothesis testing was performed to assess for any statistically significant relationship between fracture incidence and temporal or injury characteristics. Patients were then divided based on their management (conservative vs. operative) and hypothesis testing was performed to determine whether any difference existed between the management groups with regards to temporal and injury characteristics. Results: No statistically significant association was noted between fracture incidence and gender, laterality, or day/ month/season of injury. Time of injury and presentation to the Emergency Department demonstrated significant results, with highest incidence in the afternoon hours (12:00-17:59). Conclusions: Unlike previous international studies, no significant difference was noted between day/month/season of injury and incidence of supracondylar fracture. This is thought to be likely due to the difference in climate between Australia and other countries.

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Section: Discussioncontrasting

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Temporal characteristics of paediatric supracondylar humerus fractures

McRae

Nusem

2017

Trauma

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“…Mechanism of injury variables were classified according to the Centers for Disease Control and Prevention (CDC) external cause of injury matrix [ 26 ]. These variables included falls, motor vehicle collision (MVC), struck by/against, and other.…”

Section: Methodsmentioning

confidence: 99%

Older adults with acquired brain injury: a population based study

et al. 2013

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BackgroundAcquired brain injury (ABI), which includes traumatic (TBI) and non-traumatic brain injury (nTBI), is a leading cause of death and disability worldwide. The objective of this study was to examine the trends, characteristics, cause of brain injury, and discharge destination of hospitalized older adults aged 65 years and older with an ABI diagnosis in a population with universal access to hospital care. The profile of characteristics of patients with TBI and nTBI causes of injury was also compared.MethodsA population based retrospective cohort study design with healthcare administrative databases was used. Data on acute care admissions were obtained from the Discharge Abstract Database and patients were identified using the International Classification of Diseases – Version 10 codes for Ontario, Canada from April 1, 2003 to March 31, 2010. Older adults were examined in three age groups – 65 to 74, 75 to 84, and 85+ years.ResultsFrom 2003/04 to 2009/10, there were 14,518 episodes of acute care associated with a TBI code and 51, 233 episodes with a nTBI code. Overall, the rate of hospitalized TBI and nTBI episodes increased with older age groups. From 2007/08 to 2009/10, the percentage of patients that stayed in acute care for 12 days or more and the percentage of patients with delayed discharge from acute care increased with age. The most common cause of TBI was falls while the most common type of nTBI was brain tumours. The percentage of patients discharged to long term care and complex continuing care increased with age and the percentage discharged home decreased with age. In-hospital mortality also increased with age. Older adults with TBI and nTBI differed significantly in demographic and clinical characteristics and discharge destination from acute care.ConclusionsThis study showed an increased rate of acute care admissions for both TBI and nTBI with age. It also provided additional support for falls prevention strategies to prevent injury leading to cognitive disability with costly human and economic consequences. Implications for increased numbers of people with ABI are discussed.

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“…The data was organized into 24 consecutive bimonthly groups beginning with January/February 2018 and ending with November/December 2021. This allows for comparisons between the different years within bimonthly groups, as there are well known seasonal variations in pediatric fractures [ 7 , 8 ]. Use of this publicly available de-identified data was determined to be exempt by our local Institutional Review Board.…”

Section: Methodsmentioning

confidence: 99%

Changes in pediatric fracture patterns presenting to US emergency departments before, during, and after the COVID-19 pandemic

Loder,

Johnson

2023

Heliyon

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Temporal variation in pediatric supracondylar humerus fractures requiring surgical intervention

Cited by 5 publications

References 24 publications

Temporal characteristics of paediatric supracondylar humerus fractures

Temporal characteristics of paediatric supracondylar humerus fractures

Older adults with acquired brain injury: a population based study

Changes in pediatric fracture patterns presenting to US emergency departments before, during, and after the COVID-19 pandemic

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