Temporal trend of pediatric fracture epidemiology in Thailand: a nationwide study 2018–2024
Authors' conclusion
Fracture incidence among the Thai pediatric population was lower than that reported from Western countries and remained relatively constant during 2018-2024. Incidence was highest in male adolescents, with traffic accident being the major contributor. Strengthening targeted prevention, particularly traffic-safety interventions, should be a national priority to reduce pediatric fracture burden in Thailand.
Study context
- Population
- Individuals aged <20 years in the National Health Security Office (NHSO)-insured population, Thailand, 2018–2024787,866 fractures
- Participants
- 569,819 individuals
- Outcome
- Fracture incidence per 10,000 person-years and its temporal trend (annual percent change)
- Follow-up
- 2018–2024
Methodological details2018–2024
- 2018–2024
Main finding
As reported in the abstract
Median annual age-standardized incidence rate (ASIR) per 10,000 person-years (range 76.5-90.6)
88.1
ASIR trend 2018-2022, annual percent change (APC) %/year
−4.2%
95% CI −6.5% to −2.0%
ASIR trend 2022-2024, APC %/year
9.6%
95% CI 4.5%–14.9%
Overall average APC %/year, stable
0.15%
95% CI −1.27%–1.59%
Observational data: associations, not effects.
Further findings
Male-to-female IRR
- Median male-to-female IRR (Q1-Q3 2.5-2.6)
- 2.6
- Male-to-female IRR in adolescence, greatest sex difference
- 3.35 (95% CI 3.32-3.38)
Fracture site and cause
- Forearm fractures (most common)
- 31%
- Transportation injuries
- 37%
- Falls
- 35%
Original publication
Composed by AI from the published abstract and checked against it. How Briefs are made →