Evidence map›Paper›PMID 25738647›Full record

ArticleJournal of investigative medicine : the official publication of the American Federation for Clinical Research2015

Is high weight status associated with pediatric forearm fractures requiring anatomic reduction?

Leticia Manning Ryan, Stephen J Teach, Uchenna Ezeibe, Ambika Lall, Rachel Wood, James M Chamberlain

Abstract read
In one paragraph

Article in Journal of investigative medicine : the official publication of the American Federation for Clinical Research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Leticia Manning RyanFrom the *Johns Hopkins Children's Center, Johns Hopkins University School of Medicine, Baltimore, MD; †Children's National Medical Center, George Washington University School of Medicine and Health Science, Washington, DC; ‡C.S. Mott Children's Hospital, University of Michigan, Ann Arbor, MI; §St. Christopher's Hospital for Children, Philadelphia, PA; and ∥Tufts University School of Medicine, Boston, MA.
Stephen J Teach
Uchenna Ezeibe
Ambika Lall
Rachel Wood
James M Chamberlain

Funding

ZAP-70 EXPRESSION, CD38 EXPRESSION AND PROGNOSIS IN CHRONIC LYMPHOCYTIC LEUKEMIAM01RR020359 · NCRR · CHILDREN'S RESEARCH INSTITUTE · PI HINDS, PAMELA S · 2005 to 2010
$13.8M
Analysis of Bone Health in African American Children with Forearm FracturesK23RR024467 · NCRR · CHILDREN'S RESEARCH INSTITUTE · PI RYAN, LETICIA · 2007 to 2011
$754k
NCRR NIH HHS 1 K23 RR024467-01NCRR NIH HHS K23 RR024467NCRR NIH HHS M01 RR020359
6 · The paper itself

Abstract

backgroundHigh weight status is associated with increased forearm fracture risk but its relationship to severity of fracture has not been evaluated. We compared the epidemiology of children's forearm fractures treated with fracture reduction to those not treated with reduction, hypothesizing that high weight status would be significantly associated with need for reduction.

methodsThis is a case-control study including Washington, DC children, ages 2 to 17 years, treated for isolated forearm fractures in an urban, tertiary care pediatric emergency department from 2003 to 2006. Descriptive statistics and logistic regression were conducted to compare patients with forearm fracture reductions to nonintervention controls.

resultsOf 888 forearm fractures, 330 (37.2%) required reduction (cases) whereas 558 (64.8%) did not (controls). Cases were more likely than controls to be male [adjusted odds ratio, 1.67 (95% confidence interval, 1.11-2.50)] and to have experienced a more severe mechanism of trauma [adjusted odds ratio, 2.11 (95% confidence interval, 1.14-3.90)]. The groups did not differ in weight status, age, or race/ethnicity.

conclusionsThe need for reduction among children with forearm fractures is significantly associated with male sex and major mechanisms of trauma but not with high weight status. Strategies to reduce severe forearm fractures should focus on preventing major mechanisms of trauma.

Indexed as

Body WeightAdolescentCase-Control StudiesChildChild, PreschoolEmergency Service, HospitalFemaleForearm InjuriesHumansMaleOrthopedic ProceduresOverweightTreatment Outcome

Identifiers

PMID25738647
PMCPMC8890441

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.