dc.contributor.author | Högberg, Ulf | |
dc.contributor.author | Fellman, Vineta | |
dc.contributor.author | Thiblin, Ingemar | |
dc.contributor.author | Karlsson, Ruth | |
dc.contributor.author | Wester, Knut | |
dc.date.accessioned | 2021-07-02T09:20:02Z | |
dc.date.available | 2021-07-02T09:20:02Z | |
dc.date.created | 2021-02-04T18:45:21Z | |
dc.date.issued | 2020 | |
dc.Published | Acta Paediatrica. 2020, 109 (10), 2040-2048. | |
dc.identifier.issn | 0803-5253 | |
dc.identifier.uri | https://hdl.handle.net/11250/2763062 | |
dc.description.abstract | Aim
Specific birth-related fractures have been studied; underestimates might be a problem. We aimed to assess all fractures diagnosed as birth-related as well as other neonatal fractures.
Methods
A population-based study on all infants born in Sweden 1997-2014; data were retrieved from the Swedish Health Registers (10th version of International Classification of Diseases. Outcome measures were birth-related fractures (ICD-10 P-codes) and other neonatal fractures (ICD-10 S-codes).
Results
The overall fracture incidence was 2.9 per 1000 live birth (N = 5336); 92.6% had P-codes and 7.4% (S-codes). Some birth-related fractures were diagnosed beyond the neonatal period. Other neonatal fractures could have been birth-related. Clavicle fracture (88.8%) was associated with adverse maternal and infant anthropometrics and birth complications. The few neonates with rib fractures all had concomitant clavicle fracture. For skull fractures, a minor part was birth-related and most were associated with accidents. Half of the long bone fractures were associated with accidents. Birth-related femur fractures were associated with bone fragility risk factors. Five infants with abuse diagnoses had fractures: skull (4), long bone (2) and rib (1).
Conclusion
Birth-related and other neonatal fractures are rarely diagnosed. Difficult birth is the main contributor to birth-related fracture and accidents to other neonatal fractures. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Wiley | en_US |
dc.rights | Navngivelse-Ikkekommersiell 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc/4.0/deed.no | * |
dc.title | Difficult birth is the main contributor to birth‐related fracture and accidents to other neonatal fractures | en_US |
dc.type | Journal article | en_US |
dc.type | Peer reviewed | en_US |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | Copyright 2020 The Authors | en_US |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |
dc.identifier.doi | 10.1111/apa.15217 | |
dc.identifier.cristin | 1886908 | |
dc.source.journal | Acta Paediatrica | en_US |
dc.source.40 | 109 | |
dc.source.14 | 10 | |
dc.source.pagenumber | 2040-2048 | en_US |
dc.identifier.citation | Acta Paediatrica. 2020, 109(10), 2040-2048 | en_US |
dc.source.volume | 109 | en_US |
dc.source.issue | 10 | en_US |