OBJECTIVE:This study aimed to identify the 10 most frequent pediatric orthopaedic injuries requiring hospitalization in the United States, the major causes of these injuries, and their economic burden to health care cost. METHODS:The 2006 Kids' Inpatient Database (KID) (age range, 0-20 years) was used to determine the 10 most frequent pediatric orthopaedic injuries requiring hospitalization. The injuries were identified by ICD-9-CM codes 800.0-999.9 and external cause of injury codes (E-codes). Discharges were weighted to produce national estimates according to average age at admission, hospital charges, and length of stay. RESULTS:The 2 populations accounting for the highest total hospitalization charges (USD) for pediatric orthopaedic injury were young children with femur fractures (11 years of age, 20%, $32 441 per visit) and adolescents with vertebral fractures (17 years of age, 8%, $53 992 per visit). But the most common injuries requiring hospitalization were femur (11 years of age; 20%) and humerus (8 years of age; 18%) fractures. The most costly injuries, vertebral and pelvic injuries, were largely related to motor vehicle accidents (11.7% and 14.4%, respectively). In contrast, humerus and radius fractures had a high rate of playground-related injuries (21.9% and 11.3%, respectively). None of the causes accounted for more than 25% of the total incidence for the 10 most common injuries identified in this study. CONCLUSIONS:Identification of the patients responsible for the majority of the hospitalization charges for pediatric injuries will enable institutions to better plan their budgets on the basis of the local incidence.

译文

目的:本研究旨在确定在美国需要住院的十种最常见的小儿骨科损伤,这些损伤的主要原因以及它们对医疗保健成本的经济负担。
方法:使用2006年儿童住院数据库(KID)(年龄范围0-20岁)确定需要住院的10例最常见的小儿骨科损伤。伤害由ICD-9-CM代码800.0-999.9和外部伤害原因代码(E代码)标识。根据入院时的平均年龄,住院费用和住院时间,对出院时间进行加权以得出全国估计。
结果:儿童骨科损伤总住院费(USD)最高的2个人群是股骨骨折的幼儿(11岁,20%,每次就诊$ 32 441)和青少年的椎骨骨折(17岁, 8%,每次访问$ 53 992)。但是最需要住院的伤害是股骨(11岁; 20%)和肱骨(8岁; 18%)骨折。损失最大的是椎骨和骨盆损伤,主要与机动车事故有关(分别为11.7%和14.4%)。相比之下,肱骨和radius骨骨折的操场相关伤害发生率较高(分别为21.9%和11.3%)。在本研究中确定的10种最常见伤害中,没有一种原因占总发病率的25%以上。
结论:确定负责小儿伤害的大部分住院费用的患者,将使各机构可以根据当地发生率更好地计划预算。

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