Epidemiological profile of the main etiologies of pediatric fractures and comparative analysis between the pandemic period in a hospital in western Paraná
DOI:
https://doi.org/10.33448/rsd-v12i6.41987Keywords:
Fracture; Epidemiology; Child; COVID-19.Abstract
Objective: To elucidate the main mechanisms of orthopedic trauma with fractures in patients aged 0 to 12 years treated at the pediatric emergency department in a hospital in western Paraná. Method: A quantitative epidemiological, observational, descriptive, retrospective study was conducted based on data collection and analysis of medical records (352) of patients seen at the pediatric emergency department between January 2019 and December 2020. Patients who did not obtain a diagnosis of fracture (193) were excluded from the analysis. Results: From the sample of 159 analyzed medical records, the prevalent biological sex was male (52.5%). Regarding age, the most relevant age range was between 2 and 5 years (49.3%), with a peak of 5 years (15.8%). Regarding fracture classification, 71.4% were complete and 82.3% were caused by direct trauma, with the upper limbs being the most affected (84.8%), predominantly in the left hemibody (55.7%). The most commonly affected bone was the radius (39.2%) and the most frequent trauma mechanism was a fall from the same level (48.5%), with bicycle falls being the most relevant (10.1%). Secondarily, the fall from elevated level was significant, characterizing 32.2% of the cases, of which the fall from bed was the most prevalent, portraying 23.1%. Moreover, regarding the choice of therapeutic method, the conversational treatment was prevalent in 75% of the occurrences. Conclusion: Studies such as this present important information for preventive measures for children, through health promotion policies and prevention of accidents that cause damage or sequelae in this population.
References
Adriana Soares Pereira, D. M. (2018). Metodologia da pesquisa científica. Biblioteca Cenral da UFSM, pp. 1-119.
Antabak, A. S. (2015). Prijelom palčane kosti u djece--okolnosti i uzroci nastanka [Radius fractures in children--causes and mechanisms of injury]. Lijecnicki vjesnik, 137(3-4), 76-80.
Butler, M. N. (2017). The Canadian Hospital Injury Reporting and Prevention Program: captured versus uncaptured injuries for patients presenting at a paediatric tertiary care centre. Paediatrics & child health, 22(3), 134-138.
Cantão B. do C. G., J. A. (2021). Perfil Epidemiológico de traumas ortopédicos pediátricos em um hospital do interior do Pará. Revista Eletrônica Acervo Saúde, 13(2), e6265.
da Silva, L. A. (2017). Análise retrospectiva da prevalência e do perfil epidemiológico dos pacientes vítimas de trauma em um hospital secundário. Revista de Medicina, 96(4), 245-253. https://doi.org/10.11606/issn.1679-9836.v96i4p245-253
de Sousa, G. S. (2019). Epidemiologia dos acidentes com fraturas na infância: o retrato de um município da Amazônia Brasileira. Revista Gestão & Saúde, pp. 68-80. https://doi.org/10.26512/gs.v0i0.23322
Erika Alejandrina Barrón-Torres, J. F.-C.-M. (2015). Perfil clínico-epidemiológico de las fracturas supracondíleas de húmero en pacientes pediátricos en un hospital general regional. Cirugía y Cirujanos, 83(1), 29-34. https://doi.org/10.1016/j.circir.2015.04.020
Farrell, C. H. (2022). Pediatric Fracture Epidemiology and US Emergency Department Resource Utilization. Pediatric Emergency Care, 38(7), pp. 1342-1347. https://doi.org/10.1097/PEC.0000000000002752
George Alberto da Silva Dias, L. d. (2013). Perfil epidemiológico de fratura traumática isolada de rádio em crianças. Revista Paraense de Medicina, 27(1).
Joeris, A. L. (2014). An epidemiological evaluation of pediatric long bone fractures - a retrospective cohort study of 2716 patients from two Swiss tertiary pediatric hospitals. BMC pediatrics, 14, 314. https://doi.org/10.1186/s12887-014-0314-3
Keays, G. F. (2020). Injuries in the time of COVID-19. Les blessures au temps de la COVID-19. Health promotion and chronic disease prevention in Canada: research, policy and practice, 40(11-12), 336-341. https://doi.org/10.24095/hpcdp.40.11/12.02
Lino, W. B. (2005). Análise estatística do trauma ortopédico infanto-juvenil do pronto socorro de ortopedia de uma metrópole tropical. Acta Ortopédica Brasileira, 13(4), 179-182.
McAdams, R. J. (2018). Bicycle-related injuries among children treated in US emergency departments, 2006-20Bicycle-related injuries among children treated in US emergency departments, 2006-2015. Accident; analysis and prevention, 118, 11-17. https://doi.org/10.1016/j.aap.2018.05.019
Ministério da Saúde. (1991). Estatuto da Criança e do Adolescente. (3ª).
Randsborg, P. H. (2013). Fractures in children: epidemiology and activity-specific fracture rates. The Journal of bone and joint surgery. American volume, 95(7), p. 42. https://doi.org/10.2106/JBJS.L.00369
Ribeiro, P. G. (2016). O Tratamento Conservador das crianças. Instituto de Ciências Biomédicas Abel Salazar - Universidade do Porto, 1-57.
Roberto Guarniero, R. M. (2011). Estudo observacional comparativo de fraturas em crianças e adolescentes. Revista brasileira de ortopedia, 46(4), 32-37. https://doi.org/10.1590/S0102-36162011001000007
Rosa, J. O., Azevedo, W. F., & Florêncio, R. P. (Dezembro de 2018). Epidemiologia do trauma ortopédico pediátrico em um hospital público. Revista Científica Multidisciplinar Núcleo do Conhecimento, 1(12), 166-173.
Santili, C., Gomes, C. M., Akkari, M., Waisberg, G., Braga, S. d., Junior, W. L., & Santos, F. G. (2010). Fraturas da diáfise da tíbia em crianças. Acta ortopédica brasileira, 18(1), 44-48. https://doi.org/10.1590/S1413-78522010000100009
Souza, D. F., Santili, C., Freitas, R. R., Akkari, M., & Figueiredo, M. J. (2016 ). Epidemiologia das fraturas de face em crianças num pronto-socorro de uma metrópole tropical. Acta Ortopédica Brasileira, 18(6), 335-338. https://doi.org/10.1590/S1413-78522010000600006
Vollman, D. W. (2009). Epidemiology of playground equipment-related injuries to children in the United States, 1996–2005. Clinical pediatrics, 48(1), 66-71. https://doi.org/10.1177/0009922808321898
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Copyright (c) 2023 Vanessa Lais Ninow Tosetto; Suelin Pereira; Rubens Griep; Bruno Meloti Brandão; Dhanylo Dener Ferreira; Igor Fernando de Melo Cavalcante; Marina Dal Piva; Leonardo Rafael Prado dos Santos; Pedro Nascimento Miranda Freitas; Mariam Walid Hamdan; Vinicius Rohde Langer
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