Objectives: The objectives of this study were two-fold: (1) to describe the epidemiology of childhood fractures in Ontario; (2) to determine if having a fracture in childhood is associated with an increased risk of having a future fracture.
Methods: This was a population-based retrospective cohort study using Ontario health administration data. Children aged 0 to 15 years were grouped according to baseline fracture status. Associations between predictors and future fracture were assessed using Poisson and Cox PH regression.
Results: 43,154 Ontario children experienced a baseline fracture (17.5 per 1000 child years). Children with a baseline fracture had a 60% higher rate of fracture during 7 years of follow-up after adjustment for sex, rurality, history of previous fracture and the occurrence of head injury and soft-tissue injury.
Conclusions: The occurrence of a baseline fracture is associated with an increased rate of future fracture irrespective of age at time of baseline fracture.
| Identifer | oai:union.ndltd.org:TORONTO/oai:tspace.library.utoronto.ca:1807/33411 |
| Date | 22 November 2012 |
| Creators | Escott, Benjamin |
| Contributors | Howard, Andrew |
| Source Sets | University of Toronto |
| Language | en_ca |
| Detected Language | English |
| Type | Thesis |
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