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dc.contributor.authorJenkins, Mark
dc.contributor.authorNimphius, Sophia
dc.contributor.authorHart, Nicolas H.
dc.contributor.authorChivers, Paola
dc.contributor.authorRantalainen, Timo
dc.contributor.authorRueter, Kristina
dc.contributor.authorBorland, Meredith L.
dc.contributor.authorMcIntyre, Fleur
dc.contributor.authorStannage, Katherine
dc.contributor.authorSiafarikas, Aris
dc.date.accessioned2019-01-14T12:32:36Z
dc.date.available2019-06-02T21:35:45Z
dc.date.issued2018
dc.identifier.citationJenkins, M., Nimphius, S., Hart, N. H., Chivers, P., Rantalainen, T., Rueter, K., Borland, M. L., McIntyre, F., Stannage, K., & Siafarikas, A. (2018). Appendicular fracture epidemiology of children and adolescents: a 10-year case review in Western Australia (2005 to 2015). <i>Archives of Osteoporosis</i>, <i>13</i>, Article 63. <a href="https://doi.org/10.1007/s11657-018-0478-9" target="_blank">https://doi.org/10.1007/s11657-018-0478-9</a>
dc.identifier.otherCONVID_28094218
dc.identifier.otherTUTKAID_77862
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/62479
dc.description.abstractFracture incidence data of Australian children and adolescents have not been reported in the literature. A 10-year case review of fracture presentations in Western Australia is provided. Between 2005 and 2015, fracture incidence increased relative to population growth. This is concerning, and interventions are required to reverse this trend. Purpose Fracture incidence in 0–16-year-olds is high and varies between countries. Boys have a 1.5:1 ratio of fracture incidence compared to girls. There are no specific data for Australia. Western Australia is a state with unique geography and population distribution having only a single tertiary paediatric hospital (Princess Margaret Hospital, PMH, in Perth) managing the majority of children and adolescents with fractures in the Emergency Department (ED). The aims of this study were to characterise fracture presentations to PMH-ED and compare the incidence to population data. Methods A database audit of fracture presentations between 2005 and 2015 for fracture rates with a sub-analysis for gender, fracture site and age and a comparison to Perth Metropolitan and Western Australian population data was performed. Results Analysis included 31,340 presentations. Fracture incidence, adjusted for the annual population size, increased from 0.63% in 2005 to 0.85% in 2015 (p < 0.001). The month of May reported the highest fracture rate (p < 0.001) corresponding with the start of the winter sports season. Males had a 1.5 times higher fracture incidence than females (p < 0.001), with upper limb fractures three times more common than lower limb fractures (p < 0.001). Fracture incidence increased with age until the early teenage years (15 years for males; 12 years for females) when a decline occurred. Conclusions Increased fracture incidence in Western Australia between 2005 and 2015 identifies a concerning trend for bone health in children and adolescents. Further research is needed to identify potential lifestyle factors that impact fracture incidence translating into evidence-based strategies to reverse these trends and improve bone health.fi
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherSpringer London
dc.relation.ispartofseriesArchives of Osteoporosis
dc.rightsIn Copyright
dc.subject.otherpaediatric
dc.subject.otheraudit
dc.titleAppendicular fracture epidemiology of children and adolescents: a 10-year case review in Western Australia (2005 to 2015)
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-201901141181
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.contributor.oppiaineGerontologia ja kansanterveysfi
dc.contributor.oppiaineGerontologian tutkimuskeskusfi
dc.contributor.oppiaineHyvinvoinnin tutkimuksen yhteisöfi
dc.contributor.oppiaineGerontology and Public Healthen
dc.contributor.oppiaineGerontology Research Centeren
dc.contributor.oppiaineSchool of Wellbeingen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.date.updated2019-01-14T10:15:09Z
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.relation.issn1862-3522
dc.relation.numberinseries0
dc.relation.volume13
dc.type.versionacceptedVersion
dc.rights.copyright© International Osteoporosis Foundation and National Osteoporosis Foundation 2018.
dc.rights.accesslevelopenAccessfi
dc.subject.ysoluunmurtumat
dc.subject.ysolapset (ikäryhmät)
dc.subject.ysonuoret
dc.subject.ysoepidemiologia
dc.subject.ysoluu
dc.subject.ysoväestö
dc.subject.ysoilmaantuvuus
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p23619
jyx.subject.urihttp://www.yso.fi/onto/yso/p4354
jyx.subject.urihttp://www.yso.fi/onto/yso/p11617
jyx.subject.urihttp://www.yso.fi/onto/yso/p11307
jyx.subject.urihttp://www.yso.fi/onto/yso/p24244
jyx.subject.urihttp://www.yso.fi/onto/yso/p4207
jyx.subject.urihttp://www.yso.fi/onto/yso/p25910
dc.rights.urlhttp://rightsstatements.org/page/InC/1.0/?language=en
dc.relation.doi10.1007/s11657-018-0478-9
dc.type.okmA1


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