The Epidemiology of Pediatric Shoulder Dislocations in the United States.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-10-25 DOI:10.1097/BPO.0000000000002841

Stefano DiCenso, Ronald Justin Mistovich, David C Kaelber

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引用次数: 0

Abstract

Background: Shoulder dislocations are the most common of all major joint dislocations and are a frequent cause of emergency department (ED) presentations. While the epidemiology of shoulder dislocations has been characterized in adults, it has not yet been done for children in the United States. The primary goal of this study was to calculate the incidence rate of pediatric shoulder dislocations in the United States. Secondary goals were to characterize the demographic information of children with shoulder dislocations as well as trends in management.

Methods: The US Collaborative Network in TriNetX, a network of clinical data repositories containing patient data from over 100,000,000 unique individuals within the United States, was queried for patients younger than 18 years old diagnosed with shoulder dislocation from 2014 to 2024 using ICD codes. The demographic details were then extracted from the data set, and treatment approaches were determined by CPT coding.

Results: Over the past 10 years, there were 16,460 pediatric and adolescent patients diagnosed with a first-time shoulder dislocation in either an ED or ambulatory clinic. The overall incidence rate was 60.31 per 100,000 patients, while the incidence rate was 116.61 per 100,000 patients presenting in the ED and 33.95 per 100,000 patients presenting in ambulatory clinics that were under the age of 18 years. Most patients were male (73%), White (59%), and came from the southeastern region of the United States (36%). The most common treatment was a closed reduction (25%), followed by arthroscopic surgery (17%). The number of annual shoulder dislocations has increased over the past decade without an increase in the number of patients undergoing surgical treatment.

Conclusions: There remains a high incidence rate of shoulder dislocations in the pediatric population of the United States. Despite evidence that early surgical treatment of shoulder dislocations offers improved outcomes, nonoperative treatment continues to be the most common modality without any increase in the percentage of patients undergoing surgical treatment.

Level of evidence: Level IV-descriptive epidemiological analysis.

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美国小儿肩关节脱位的流行病学。

背景：肩关节脱位是所有主要关节脱位中最常见的一种，也是急诊科（ED）的常见病因。虽然成人肩关节脱位的流行病学特征已被证实，但在美国，儿童肩关节脱位的流行病学特征尚未被证实。本研究的主要目的是计算美国儿童肩关节脱位的发病率。次要目标是了解肩关节脱位儿童的人口统计学信息以及治疗趋势：美国 TriNetX 协作网络是一个临床数据存储库网络，包含来自美国超过 100,000,000 名患者的数据，我们使用 ICD 代码查询了 2014 年至 2024 年期间被诊断为肩关节脱位的 18 岁以下患者的数据。然后从数据集中提取了人口统计学细节，并通过 CPT 编码确定了治疗方法：结果：过去10年中，共有16460名儿童和青少年患者在急诊室或门诊首次被诊断为肩关节脱位。总发病率为每 10 万名患者中有 60.31 例，而在急诊室就诊的每 10 万名患者中有 116.61 例，在非住院门诊就诊的每 10 万名患者中有 33.95 例。大多数患者为男性（73%）、白人（59%），来自美国东南部地区（36%）。最常见的治疗方法是闭合复位（25%），其次是关节镜手术（17%）。在过去的十年中，每年肩关节脱位的人数都在增加，但接受手术治疗的患者人数却没有增加：结论：美国儿童肩关节脱位的发病率仍然很高。尽管有证据表明肩关节脱位的早期手术治疗可改善治疗效果，但非手术治疗仍是最常见的治疗方式，接受手术治疗的患者比例并未增加：证据级别：IV级--描述性流行病学分析。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.