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Archives of Disease in Childhood 2000;82:452-455; doi:10.1136/adc.82.6.452
Copyright © 2000 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.
Arch Dis Child 2000;82:452-455 ( June )

Article

Incidence and cause of fractures in European districts Ronan A Lyonsa, Eva Sellstromb, Annie M Delahuntyc, Mitch Loebd, Susanna Variloe

a Collaboration in Accident Prevention and Injury Control, Welsh Combined Centres for Public Health, University of Wales College of Medicine, Wales, UK, b CSL, Midsweden University, Sweden, c Department of Public Health, Iechyd Morgannwg Health, Swansea, Wales, d Sintef, Unimed, Norway, e Porvoo Health and Welfare Service, Finland

Correspondence to: Dr R Lyons, West Combined Centre for Public Health, 41 High Street, Swansea SA1 1LT, Wales, UK email: LYONSRA{at}cardiff.ac.uk

Accepted 1 March 2000

AIMS---To compare fracture rates in European districts.
SETTING---Geographically defined areas of Wales (Swansea and Neath Port Talbot), Norway (Harstad, Trondheim, Stavanger, and Drammen), Sweden (Jamtlands), and Finland (Porvoo).
METHODS---Surveillance of fractures at emergency departments and hospitals and linkage with population data. Comparison of age adjusted and crude rates. Calculation of confidence intervals for ratios.
RESULTS---A total of 4113 fractures occurred in 167 560 children during 1996. Fracture rates in south Wales (36 per 1000) were substantially higher than in Scandinavian districts (which were similar). Limiting analysis to the most severe injuries to correct for the possibility of ascertainment bias reduced some of the excess rate in Wales: the Welsh:Scandinavian fracture ratio was 1.82 (95% confidence interval: 1.64 to 2.03).
CONCLUSIONS---Fracture rates in Welsh children are substantially higher than in Scandinavian children.


Keywords: fractures; incidence; aetiology; international comparison

© 2000 by Archives of Disease in Childhood
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