Temperature and holiday impacts on early childhood fracture.

Year 2023, Volume: 1 Issue: 2, 50 - 56, 29.05.2023

Fatih Türkmensoy , Nazan Çevik , Yavuz Akalın , Ali Ömer Kaya , Can Ulusaloğlu , Alpaslan Öztürk

Abstract

Objectives: Hospitalizations and surgeries for extremity fractures in childhood after emergency admissions have increased steadily. One-third of under seventeen-year-old children have at least one fracture; most are on the extremity. The relationship between weather conditions and children’s fractures is well known. This study aims to reveal the effects of weather conditions and holidays on preschool and primary school children’s (2-12-year-old) extremity fractures.
Methods: All children between 2 and 12 years old and extremity fractures during the decade of 1 January 2017 and 31 December 2018 were included in the present study. The population was studied in two groups: pre-school and primary school. Monthly meteorological information, holidays, and fracture numbers were compared.
Results: There was a significant relationship between all extremity fractures and monthly average temperature, warm days, and hot days. A negative correlation was detected between cold days and all upper-lower extremity fractures. Both groups had a positive correlation between hot days and upper extremity and total fracture numbers. Both groups had no correlation between fracture numbers and monthly holiday numbers.
Conclusions: We researched the effects of monthly average temperature and the number of holidays on preschool and primary school children. Results show that there is a close relationship between temperature and fracture numbers. Fracture incidence is increasing not only on warm days, as stated in the literature, but also on hot days. We found no correlation in our study between the number of holidays and the number of fractures.

Keywords

temperature, child, bone fracture, holidays.

References

• Naranje SM, Erali RA, Warner WC, Sawyer JR, Kelly DM. Epidemiology of pediatric fractures presenting to emergency departments in the United States. Journal of Pediatric Orthopaedics2016;36(4):e45-e8 DOI: 10.1097/BPO.0000000000000595.
• Marson BA, Craxford S, Deshmukh SR, Grindlay DJ, Manning JC, Ollivere BJ. Quality of patient-reported outcomes used for quality of life, physical function, and functional capacity in trials of childhood fractures: a systematic review using the COSMIN checklist. The Bone & Joint Journal2020;102(12):1599-607 DOI: 10.1302/0301-620X.102B12.BJJ-2020-0732.R2.
• Sinikumpu J-J, Pokka T, Hyvönen H, Ruuhela R, Serlo W. Supracondylar humerus fractures in children: the effect of weather conditions on their risk. European Journal of Orthopaedic Surgery & Traumatology2017;27(2):243-50 DOI: 10.1007/s00590-016-1890-8.
• Segal D, Slevin O, Aliev E, Borisov O, Khateeb B, Faour A, et al. Trends in the seasonal variation of paediatric fractures. Journal of Children’s Orthopaedics2018;12(6):614-21 DOI: 10.1302/1863-2548.12.180114.
• Cooper C, Dennison EM, Leufkens HG, Bishop N, van Staa TP. Epidemiology of childhood fractures in Britain: a study using the general practice research database. Journal of Bone and Mineral Research2004;19(12):1976-81 DOI: 10.1359/JBMR.040902.
• Sinikumpu J-J, Pokka T, Sirniö K, Ruuhela R, Serlo W. Population-based research on the relationship between summer weather and paediatric forearm shaft fractures. Injury2013;44(11):1569-73 DOI: 10.1016/j.injury.2013.04.021.
• Loder RT, Feinberg JR. Epidemiology and mechanisms of femur fractures in children. Journal of Pediatric Orthopaedics2006;26(5):561-6 DOI: 10.1097/01.bpo.0000230335.19029.ab.
• Hedström EM, Svensson O, Bergström U, Michno P. Epidemiology of fractures in children and adolescents: Increased incidence over the past decade: a population-based study from northern Sweden. Acta orthopaedica2010;81(1):148-53 DOI: 10.3109/17453671003628780.
• Katapally TR, Rainham D, Muhajarine N. The influence of weather variation, urban design and built environment on objectively measured sedentary behaviour in children. AIMS public health2016;3(4):663 DOI: 10.3934/publichealth.2016.4.663.
• Laor T, Cornwall R. Describing pediatric fractures in the era of ICD-10. Pediatric radiology2020;50(6):761-75 DOI: 10.1007/s00247-019-04591-2.
• Hayashi S, Noda T, Kubo S, Myojin T, Nishioka Y, Higashino T, et al. Variation in fracture risk by season and weather: a comprehensive analysis across age and fracture site using a national database of health insurance claims in Japan. Bone2019;120:512-8 DOI: 10.1016/j.bone.2018.12.014.
• Atherton W, Harper W, Abrams K. A year’s trauma admissions and the effect of the weather. Injury2005;36(1):40-6 DOI: 10.1016/j.injury.2003.10.027.
• Masterson E, Borton D, O’Brien T. Victims of our climate. Injury1993;24(4):247-8 DOI: 10.1016/0020-1383(93)90179-a.
• Wareham K, Johansen A, Stone MD, Saunders J, Jones S, Lyons RA. Seasonal variation in the incidence of wrist and forearm fractures, and its consequences. Injury2003;34(3):219-22 DOI: 10.1016/s0020-1383(02)00212-7.