Analysis of 2 173 cases of pediatric inpatients with fracture-an application of log-linear model
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摘要: 目的 了解湖南省骨折住院患儿影响因素间的交互作用,为儿童骨折的防治制定有针对性的措施。方法 采用对数线性模型对儿童骨折影响因素间的交互项进行筛选与分析。结果 不同类型骨折住院患儿的治愈率((口恶)2=51.036,P<0.001)、住院日(H=67.101,P<0.001)和住院费用(H=46.282,P<0.001)均有统计学差异;骨折住院患儿的骨折原因与骨折类型两者之间存在交互作用,跌落易导致尺桡骨骨折,而交通事故则易出现胫腓骨骨折;骨折住院患儿的性别、年龄与骨折原因三者之间存在交互作用,0~3岁男孩易由交通事故和跌落这两种伤害类型导致骨折;骨折住院患儿的性别、年龄与骨折类型三者之间也存在交互作用,0~3岁儿童,不论男孩女孩,发生尺桡骨骨折和肱骨骨折这两种骨折类型可能性比较低。结论 应根据不同年龄,性别,骨折原因以及骨折类型采取有针对性的措施预防儿童骨折;对数线性模型可以更好的用于分析多个变量间的交互作用,适用于探索性的研究。Abstract: Objective To investigate the interactions among factors influencing the fracture of hospitalized children in Hunan province, so as to provide targeted measures for the prevention of pediatric fractures. Methods The interactions among factors influencing children's fracture were screened and analyzed by the log linear model. Results There were significant difference in the cure rate ((口恶)2=51.036, P<0.001),the duration of hospital stay (H=67.101,P<0.001) and the hospitalization expenses (H=46.282,P<0.001) of different types of fracture of hospitalized children. There were interactions between the causes of fracture and types of fracture.The fall injury was easy to cause the fracture of the ulna or radius, and the traffic accident was prone to the fracture of the tibia or fibula. There were interactions among gender, age and causes of fracture.The most common causes of fracture among 0 to 3 years old boys were traffic accidents and falls. There were interactions among gender, age, and types of fracture. 0 to3 years old children, regardless of the gender, were less inclined to the fracture of ulna, radius or humerus. Conclusions Targeted measures should be taken to prevent children from fracture according to the age, gender, causes of fracture and types of fracture.The log-linear model can be used to analyze the interactions among multiple variables, and it is suitable for exploratory research.
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Key words:
- Child, hospitalized /
- Fracture, bone /
- Log-linear model /
- Interaction
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