Summary

The objective was to know the behavior of fractures in Mexican children and adolescents. According to our study, fractures in Mexican male children and adolescents seem to be decreasing; however, we still need more national studies to know the possible causes of these fractures.

Purpose

To describe the trends of fractures in Mexican children and adolescents across a 12-year period (2007 to 2019), and to analyze if these trends have changed over time between sexes and age groups.

Methods

We identified all fracture cases registered in children and adolescents (0 to 19 years) at the emergency rooms and surgical departments of the Mexican Institute of Social Security between January 2007 and December 2019. We used ICD-10 to classify the fractures. The population was divided into two age groups: children (0 to 9 years) and adolescents (10 to 19 years). Additional information regarding sex and age was gathered up as well. We calculated annual incidence; incidence rates are presented per 10,000 population at risk. Changes in fracture trends were calculated using the average annual percentage change (AAPC).

Results

Over 12 years, 1,400,443 fractures were registered. The most frequent site of fracture was forearm in 37.1% followed by shoulder (18.1%). The overall rates of fractures have remained similar over 12 years (86.5, IQR 81.0–94.2); however, a significant decrease in fractures was observed the last 3 years (2017–2019). According to the AAPC, only in men, in both age groups, a significant decrease in fractures was observed.

Conclusion

This is the first study in Mexico to follow the behavior of fractures in the pediatric population over 12 years. Fractures seem to be decreasing in children and adolescents. An epidemiological follow-up of childhood fractures is necessary to understand the causes of fractures to generate better prevention and treatment strategies.

中文翻译：

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墨西哥 0-19 岁儿童和青少年的骨折发生率：一项为期 12 年的横断面分析

概括

目的是了解墨西哥儿童和青少年的骨折行为。根据我们的研究，墨西哥男性儿童和青少年的骨折似乎正在减少；然而，我们仍然需要更多的国家研究来了解这些骨折的可能原因。

目的

描述墨西哥儿童和青少年在 12 年期间（2007 年至 2019 年）的骨折趋势，并分析这些趋势是否随时间在性别和年龄组之间发生变化。

方法

我们确定了 2007 年 1 月至 2019 年 12 月期间在墨西哥社会保障研究所急诊室和外科部门登记的所有儿童和青少年（0 至 19 岁）骨折病例。我们使用 ICD-10 对骨折进行分类。人口分为两个年龄组：儿童（0 至 9 岁）和青少年（10 至 19 岁）。还收集了有关性别和年龄的其他信息。我们计算了年发病率；发病率按每 10,000 名处于危险中的人口列出。使用平均年百分比变化 (AAPC) 计算骨折趋势的变化。

结果

12 年来，记录了 1,400,443 起骨折。最常见的骨折部位是前臂，占 37.1%，其次是肩部 (18.1%)。12 年来骨折的总体发生率保持相似（86.5，IQR 81.0–94.2）；然而，在过去 3 年（2017-2019 年）中观察到骨折显着减少。根据 AAPC 的数据，仅在男性中，在两个年龄组中，观察到骨折发生率显着下降。

结论

这是墨西哥第一项跟踪儿科人群骨折行为超过 12 年的研究。儿童和青少年的骨折似乎正在减少。有必要对儿童骨折进行流行病学随访，以了解骨折的原因，从而制定更好的预防和治疗策略。