248534 Update of the Most Frequent Pediatric Orthopedic Injuries From a National Inpatient Population

Monday, October 31, 2011

Atsuko Nakaniida, MS ATC , Department of Education, University of Hawaii at Manoa, Funabashi, Chiba, Japan
Keishoku Sakuraba, MD PhD , Department of Sports Medicine, Juntendo University, Graduate School, Inba, Chiba, Japan
Eric L. Hurwitz, DC, PhD , Office of Public Health Studies, University of Hawaii, Honolulu, HI
Background: One in four children in the U.S. sustains an accidental injury that requires medical care each year resulting in large personal and societal costs. Objectives: (1) To identify the most frequent pediatric orthopedic injuries requiring hospitalization in the U.S. and (2) to estimate the hospital charges and mortality rates associated with these injuries. Methods: Data were extracted from the 2006 Kids' Inpatient Database (KID). The ten most frequent pediatric orthopedic hospitalized injuries were identified from among ICD-9-CM codes 800.0-999.9. Discharges were weighted to produce nationally representative estimates, characterized according to gender, ethnicity, average length of stay and location, and compared to 1997 KID data. Results: Of the 86,925 traumatic orthopedic injury hospital discharges, the 10 most frequent injuries comprised 72,754 cases (83.7% of total). Total hospital charges were estimated to be $1.39 billion. Average admission age was 12 years, average length of stay was 3.2 days, average total hospital charges were $27,292, and the mortality rate was 0.08%. Femur and humerus fractures were the leading pediatric orthopedic injuries. Knee/leg sprains and strains were the only injuries among the top ten that were not bone fractures. Rates of femur, humerus, radius/ulna, vertebral, and hand/finger fractures varied significantly by gender, ethnicity, and geographic region. Compared to 1997 data, injury rankings, incidence rates, and length of stay held fairly stable; however, estimated total charges for injuries doubled over the decade. Conclusion: Identifying modifiable factors associated with the increasing costs and developing effective injury prevention programs should be the foci of future studies.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Other professions or practice related to public health
Public health or related research

Learning Objectives:
The attendees will be able to (1) recognize the recent ten most frequent pediatric orthopedic injuries; (2) describe the distinct demographic characteristics of pediatric injuries; (3) clearly be aware of the significant increase in hospital charges compared to 10 years ago; and (4) acknowledge that developing effective injury prevention programs should be the foci of future studies.

Keywords: Pediatrics, Health Reform

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I am a 17 year veteran certifed athletic trainer who has been working closely with pediatic injuries and is presently working to attain a PhD degree.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.