Evidence map›Paper›PMID 37466766›Full record

ArticlePediatric surgery international2023

Obese adolescents have higher risk for severe lower extremity fractures after falling.

Nicolas Gonzalez, Jeffry Nahmias, Sebastian Schubl, Lourdes Swentek, Brian R Smith, Ninh T Nguyen, Areg Grigorian

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Pediatric surgery international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07143552 (A Prospective Case-Control Study of Vitamin D Status, Bone Metabolic Markers, and Overweight in Pediatric Low-Energy Fractures), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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.

NCT07143552 recruitingnot on this mapstarted 2024, after this paper: background citation

A Prospective Case-Control Study of Vitamin D Status, Bone Metabolic Markers, and Overweight in Pediatric Low-Energy Fractures

TypeobservationalSponsorParacelsus Medical UniversityRan2024 to 2026Enrolled100ConditionsPediatric Fractures, Hypovitaminosis D, Obesity and Overweight
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Obesity and long bone fractures in children. Systematic review.Archives of orthopaedic and trauma surgery · 2026
    Pooled it
  2. Observational
  3. Article
  4. Article
  5. Article
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

7 authors.

Nicolas GonzalezIrvine Medical Center, Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, University of California, 3800 Chapman Ave, Suite 6200, Orange, CA, 92868-3298, USA.
Jeffry NahmiasIrvine Medical Center, Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, University of California, 3800 Chapman Ave, Suite 6200, Orange, CA, 92868-3298, USA.
Sebastian SchublIrvine Medical Center, Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, University of California, 3800 Chapman Ave, Suite 6200, Orange, CA, 92868-3298, USA.
Lourdes SwentekIrvine Medical Center, Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, University of California, 3800 Chapman Ave, Suite 6200, Orange, CA, 92868-3298, USA.
Brian R SmithIrvine Medical Center, Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, University of California, 3800 Chapman Ave, Suite 6200, Orange, CA, 92868-3298, USA.
Ninh T NguyenIrvine Medical Center, Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, University of California, 3800 Chapman Ave, Suite 6200, Orange, CA, 92868-3298, USA.
Areg GrigorianIrvine Medical Center, Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, University of California, 3800 Chapman Ave, Suite 6200, Orange, CA, 92868-3298, USA. agrigori@uci.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionReports vary on the impact of obesity on the incidence of lower extremity fractures after a fall. We hypothesized that obese adolescents (OA) presenting after a fall have a higher risk of any and severe lower extremity fractures compared to non-OAs.

methodsA national database was queried for adolescents (12-17 years old) after a fall. Primary outcome included lower extremity fracture. Adolescents with a body mass index (BMI) ≥ 30 (OA) were compared to adolescents with a BMI < 30 (non-OA).

resultsFrom 20,264 falls, 2523 (12.5%) included OAs. Compared to non-OAs, the rate of any lower extremity fracture was higher for OAs (51.5% vs. 30.7%, p < 0.001). This remained true for lower extremity fractures at all locations (all p < 0.05). After adjusting for sex and age, associated risk for any lower extremity fracture (OR 2.41, CI 2.22-2.63, p < 0.001) and severe lower extremity fracture (OR 1.31, CI 1.15-1.49, p < 0.001) was higher for OAs. This remained true in subset analyses of ground level falls (GLF) and falls from height (FFH) (all p < 0.05).

conclusionsObesity significantly impacts adolescents' risk of all types of lower extremity fractures after FFH or GLF. Hence, providers should have heightened awareness for possible lower extremity fractures in OAs. LEVEL OF EVIDENCE: IV.

Indexed as

Fractures, BonePediatric ObesityAccidental FallsAdolescentBody Mass IndexChildHumansLower ExtremityRisk FactorsAdolescent obesityFallsLower extremity fractures

Identifiers

PMID37466766
PMCPMC10356668

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Registered trials

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.