东莞市1809例儿童骨折的流行病学调查及直接经济负担分析

Epidemiological survey and direct economic burden analysis of 1809 fracture children in Dongguan city

目的调查东莞市儿童骨折流行病学及直接经济负担。方法收集2008~2017年东莞市儿童医院1 809例骨折患儿的临床及住院费用资料。结果 1 809例患儿中男、女性分别占71.81%、28.19%,4~8岁儿童最多见,外伤是主要原因(99.56%);前五位骨折分别是肱骨(32.5%)、尺骨桡骨(16.92%)、桡骨(10.17%)、股骨(6.8%)、胫骨(6.19%);骨折治愈率84.69%,好转率13.88%。人均及日均住院费用呈逐年增长的趋势,日均住院费用从2008年的469.29元增长至2017年的993.65元。结论本地儿童骨折的高峰年龄为4~8岁,上肢骨折最多见,直接经济负担较高。

Objective To survey the epidemiology and direct economic burden of fracture children in Dongguan city.Methods Clinical and hospitalization expense data of 1809 fracture children were collected from Dongguan Children’s Hospital between 2008 and 2017. Of the 1809 fracture children, 71.81% were male and 28.19% were female, peak Resultsage was 4-8 years, and trauma was the main cause. The humerus, ulna and radius, radius, femur, and tibia fractures accounted for 32.5%, 16.92%, 10.17%, 6.8%, and 6.19%, respectively. The cure and improvement rates were respectively 84.69% and 13.88%. The per capita and daily hospitalization costs were growing year by year, and daily hospitalization expense was increased from 469.29 yuan in 2008 to 993.65 yuan in 2017. Conclusion The peak age is 4-8 years, upper limb fractures are most common, and direct economic burden is higher in fracture children of Dongguan city.