Evidence map›Paper›PMID 30607209›Full record

ArticleJournal of children's orthopaedics2018

Trends in the seasonal variation of paediatric fractures.

D Segal, O Slevin, E Aliev, O Borisov, B Khateeb, A Faour, E Palmanovich, Y S Brin, D Weigl

Open access · goldAbstract read
In one paragraph

Article in Journal of children's orthopaedics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.8field-weighted citation impact, top 17% of its field
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

13 citing papers in PubMed, 28 citations in OpenAlex.

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  4. Epidemiology and treatment of forearm fractures in Swedish children and adolescents.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
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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

9 authors at 3 institutions in 1 country.

D SegalDepartment of Orthopaedic Surgery, Meir Medical Center, Kfar Saba, Israel, affiliated with Tel Aviv University, Tel Aviv, Israel.
O SlevinDepartment of Orthopaedic Surgery, Meir Medical Center, Kfar Saba, Israel, affiliated with Tel Aviv University, Tel Aviv, Israel.
E AlievDepartment of Orthopaedic Surgery, Meir Medical Center, Kfar Saba, Israel, affiliated with Tel Aviv University, Tel Aviv, Israel.
O BorisovDepartment of Orthopaedic Surgery, Meir Medical Center, Kfar Saba, Israel, affiliated with Tel Aviv University, Tel Aviv, Israel.
B KhateebDepartment of Orthopaedic Surgery, Meir Medical Center, Kfar Saba, Israel, affiliated with Tel Aviv University, Tel Aviv, Israel.
A FaourDepartment of Orthopaedic Surgery, Meir Medical Center, Kfar Saba, Israel, affiliated with Tel Aviv University, Tel Aviv, Israel.
E PalmanovichDepartment of Orthopaedic Surgery, Meir Medical Center, Kfar Saba, Israel, affiliated with Tel Aviv University, Tel Aviv, Israel.
Y S BrinDepartment of Orthopaedic Surgery, Meir Medical Center, Kfar Saba, Israel, affiliated with Tel Aviv University, Tel Aviv, Israel.
D WeiglDepartment of Orthopaedic Surgery, Schneider's Children's Hospital, Rabin Medical Center, Israel, affiliated with Tel Aviv University, Tel Aviv, Israel.
Meir Medical Center · ILTel Aviv University · ILRabin Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe incidence of paediatric fractures is known to peak during the summer as a consequence of unsupervised physical activity. A more sedentary lifestyle is a potential cause for changes in paediatric seasonal fracture frequency and severity. The aim of this study was to evaluate the current seasonal variations of paediatric fractures in order to determine resource allocation in hospitals, community clinics and prevention programs.

methodsA single institutional review of historical data of all patients aged 0 to 16 years that were diagnosed with fractures between April 2014 and July 2017 in the emergency department of a level 3 orthopaedic trauma centre was conducted. In all, 3484 fractures were reviewed, of which 2991 were included. We stratified fractures according to patients' variants and the hour, day and month with respect to holidays, weekends and weather.

resultsWhile the fracture rate on school days was 6.62 per day, the fracture rate during the summer vacation was 4.45 (p < 0.01). Hot weather was correlated with low fracture rates. The peak hours of admission were 12:00 to 13:00 and 18:00 to 22:00, with more moderate differences during non-school periods.

conclusionThe local seasonal variation of paediatric fractures has a bimodal distribution, with similar nadirs during both summer and winter. These rates might reflect a shift to a more sedentary lifestyle during the summer vacation. The presented data can assist in improving the value of injury prevention measures and medical resources allocation. LEVEL OF EVIDENCE: II.

Indexed as

childrenepidemiologypaediatric fracturesseasonal variation

Identifiers

PMID30607209
PMCPMC6293327
OpenAlexW2892981299

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.