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Trends in Pediatric Traumatic Upper Extremity Amputations.

Venus Vakhshori1, Gabriel J Bouz1, Cory K Mayfield1

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PubMed
Summary
This summary is machine-generated.

Pediatric traumatic upper extremity amputations are costly, impacting males more than females. While digit amputations are most common, overall injury rates have declined significantly since 1997.

Keywords:
adolescentamputationhandpediatricpreventativetraumaupper extremity

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Area of Science:

  • Pediatric Traumatology
  • Health Services Research
  • Epidemiology

Background:

  • Traumatic upper extremity amputation in children is a significant injury with unknown epidemiological trends and healthcare costs.
  • Understanding these factors is crucial for developing targeted prevention strategies.

Purpose of the Study:

  • To assess the epidemiology and healthcare costs of traumatic upper extremity amputations in children.
  • To identify risk factors and trends associated with these injuries using national data.

Main Methods:

  • Utilized the Healthcare Cost and Utilization Project (HCUP) Kids' Inpatient Database (KID) from 1997 to 2012.
  • Identified patients aged 20 years or younger with traumatic upper extremity amputations.
  • Assessed national incidence, demographics, costs, hospital, patient factors, and injury mechanisms.

Main Results:

  • 6130 cases of pediatric traumatic upper extremity amputations occurred between 1997 and 2012, costing $166 million.
  • Males were 3.4 times more likely to be affected; older children (15-19 years) were most common.
  • Amputation frequency declined 41% over the study period, with digits accounting for 92.54% of injuries.

Conclusions:

  • Pediatric traumatic upper extremity amputations represent a substantial healthcare expenditure.
  • National trends highlight the need for targeted interventions and educational campaigns to prevent these injuries.