Influence of Obesity in Children with Supracondylar Humeral Fractures Requiring Surgical Treatment at a Tertiary Pediatric Trauma Center
Background: Almost everywhere in the world, childhood obesity is becoming a serious public health problem with negative effects on both children’s health and society as a whole. The main objective of this study was to determine whether obesity has an effect on the severity of supracondylar humerus f...
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MDPI AG
2023-06-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/11/12/1783 |
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| author | Marko Bašković Lucija Vucković Marta Borić Krakar Arnes Rešić Nikolina Benco Kordić Antun Kljenak |
| author_facet | Marko Bašković Lucija Vucković Marta Borić Krakar Arnes Rešić Nikolina Benco Kordić Antun Kljenak |
| author_sort | Marko Bašković |
| collection | DOAJ |
| description | Background: Almost everywhere in the world, childhood obesity is becoming a serious public health problem with negative effects on both children’s health and society as a whole. The main objective of this study was to determine whether obesity has an effect on the severity of supracondylar humerus fracture in children, regardless of whether it is a low- or high-energy trauma. Methods: The electronic records of patients treated for the supracondylar fracture of the humerus in the ten-year period from 1 January 2013 to 1 January 2023 were reviewed retrospectively. Results: In the observed period, 618 children, including 365 (59.06%) boys and 253 (40.94%) girls, were hospitalized and treated surgically with the diagnosis of supracondylar fracture. The distributions according to the observed parameters were as follows: age (months) = 88.18 ± 32.64; height (cm) = 123.42 ± 16.83; weight (kg) = 27.18 ± 11.32; body mass index = 17.18 ± 3.06; body mass index-for-age percentile = 57.34 ± 32.11. Overall, 141 (22.82%) fractures were classified as Gartland II, while 477 (77.18%) were classified as Gartland III. A total of 66 (10.68%) fractures were flexion type, while 552 (89.32%) were extension type. The left elbow was affected in 401 (64.89%) children, while the right was affected in 217 (35.11%) children. The main mechanism of injury was a fall at ground level (33.33%). In relation to gender, a statistically significant difference was recorded in body mass index and percentile (<i>p</i> < 0.05). According to Gartland, the proportion of children below and above the 85th percentile in relation to the type of injury was statistically significant (<i>p</i> < 0.05). It was determined that the energy level does not significantly influence the injury’s severity: <i>p</i>(GII) = 0.225; <i>p</i>(GIII) = 0.180. Conclusions: In our study, we found that the proportion of overweight and obese children requiring surgical treatment was higher in Gartland type III injury, so there is no doubt that as a society we must prevent further increases in the prevalence of childhood obesity for this reason as well. |
| first_indexed | 2024-03-11T02:24:11Z |
| format | Article |
| id | doaj.art-21c67199702b4853b78702289dad35ea |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-11T02:24:11Z |
| publishDate | 2023-06-01 |
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| spelling | doaj.art-21c67199702b4853b78702289dad35ea2023-11-18T10:39:04ZengMDPI AGHealthcare2227-90322023-06-011112178310.3390/healthcare11121783Influence of Obesity in Children with Supracondylar Humeral Fractures Requiring Surgical Treatment at a Tertiary Pediatric Trauma CenterMarko Bašković0Lucija Vucković1Marta Borić Krakar2Arnes Rešić3Nikolina Benco Kordić4Antun Kljenak5Department of Pediatric Surgery, Children’s Hospital Zagreb, Ulica Vjekoslava Klaića 16, 10 000 Zagreb, CroatiaDepartment of Pediatric Surgery, Children’s Hospital Zagreb, Ulica Vjekoslava Klaića 16, 10 000 Zagreb, CroatiaDepartment of Pediatric Surgery, Children’s Hospital Zagreb, Ulica Vjekoslava Klaića 16, 10 000 Zagreb, CroatiaDepartment of Pediatrics, Children’s Hospital Zagreb, Ulica Vjekoslava Klaića 16, 10 000 Zagreb, CroatiaDepartment of Pediatrics, Children’s Hospital Zagreb, Ulica Vjekoslava Klaića 16, 10 000 Zagreb, CroatiaDepartment of Pediatric Surgery, Children’s Hospital Zagreb, Ulica Vjekoslava Klaića 16, 10 000 Zagreb, CroatiaBackground: Almost everywhere in the world, childhood obesity is becoming a serious public health problem with negative effects on both children’s health and society as a whole. The main objective of this study was to determine whether obesity has an effect on the severity of supracondylar humerus fracture in children, regardless of whether it is a low- or high-energy trauma. Methods: The electronic records of patients treated for the supracondylar fracture of the humerus in the ten-year period from 1 January 2013 to 1 January 2023 were reviewed retrospectively. Results: In the observed period, 618 children, including 365 (59.06%) boys and 253 (40.94%) girls, were hospitalized and treated surgically with the diagnosis of supracondylar fracture. The distributions according to the observed parameters were as follows: age (months) = 88.18 ± 32.64; height (cm) = 123.42 ± 16.83; weight (kg) = 27.18 ± 11.32; body mass index = 17.18 ± 3.06; body mass index-for-age percentile = 57.34 ± 32.11. Overall, 141 (22.82%) fractures were classified as Gartland II, while 477 (77.18%) were classified as Gartland III. A total of 66 (10.68%) fractures were flexion type, while 552 (89.32%) were extension type. The left elbow was affected in 401 (64.89%) children, while the right was affected in 217 (35.11%) children. The main mechanism of injury was a fall at ground level (33.33%). In relation to gender, a statistically significant difference was recorded in body mass index and percentile (<i>p</i> < 0.05). According to Gartland, the proportion of children below and above the 85th percentile in relation to the type of injury was statistically significant (<i>p</i> < 0.05). It was determined that the energy level does not significantly influence the injury’s severity: <i>p</i>(GII) = 0.225; <i>p</i>(GIII) = 0.180. Conclusions: In our study, we found that the proportion of overweight and obese children requiring surgical treatment was higher in Gartland type III injury, so there is no doubt that as a society we must prevent further increases in the prevalence of childhood obesity for this reason as well.https://www.mdpi.com/2227-9032/11/12/1783obesityoverweightchildrensupracondylar fracturehumerustrauma |
| spellingShingle | Marko Bašković Lucija Vucković Marta Borić Krakar Arnes Rešić Nikolina Benco Kordić Antun Kljenak Influence of Obesity in Children with Supracondylar Humeral Fractures Requiring Surgical Treatment at a Tertiary Pediatric Trauma Center Healthcare obesity overweight children supracondylar fracture humerus trauma |
| title | Influence of Obesity in Children with Supracondylar Humeral Fractures Requiring Surgical Treatment at a Tertiary Pediatric Trauma Center |
| title_full | Influence of Obesity in Children with Supracondylar Humeral Fractures Requiring Surgical Treatment at a Tertiary Pediatric Trauma Center |
| title_fullStr | Influence of Obesity in Children with Supracondylar Humeral Fractures Requiring Surgical Treatment at a Tertiary Pediatric Trauma Center |
| title_full_unstemmed | Influence of Obesity in Children with Supracondylar Humeral Fractures Requiring Surgical Treatment at a Tertiary Pediatric Trauma Center |
| title_short | Influence of Obesity in Children with Supracondylar Humeral Fractures Requiring Surgical Treatment at a Tertiary Pediatric Trauma Center |
| title_sort | influence of obesity in children with supracondylar humeral fractures requiring surgical treatment at a tertiary pediatric trauma center |
| topic | obesity overweight children supracondylar fracture humerus trauma |
| url | https://www.mdpi.com/2227-9032/11/12/1783 |
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