ArticleFrontiers in pediatrics2026
Pediatric fractures in northern China: hospital-based epidemiology and high-risk factors from a regional cohort study.
Article in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To identify high-risk factors for pediatric fractures in a hospital-based regional cohort. Methods: We conducted a retrospective hospital-based cohort study including children ≤15 years treated for fractures at Yuncheng Central Hospital, Shanxi Province, between September 2021 and August 2024. Demographic (age, sex, BMI z-score, residence), injury-related (mechanism, time, season), and fracture characteristics were collected. Case identification and reporting were conducted in accordance with STROBE guidelines. Multivariable logistic regression models were prespecified to estimate adjusted odds ratios (aORs) with 95% confidence intervals (CIs), alongside descriptive statistics. Results: Among 1,664 cases, males accounted for a significantly higher proportion than females (male:female ratio 1.70:1; 95% CI: 1.54-1.88), with disparity increasing in adolescence. Adolescents (11-15 years) were more frequently hospitalized (31.8% vs. 14.0%, Conclusion: Pediatric fractures in this regional cohort showed clear differences across sex, age, season, and time of injury. Younger children were mainly affected by fall-related injuries, whereas adolescents experienced more traffic- and activity-related trauma. These patterns suggest that prevention efforts should be tailored to developmental stages, such as improving home safety for preschoolers and reinforcing traffic and sports safety education for older children.
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