Study about Upper Limb Fractures in Adolescents Attending Selected Government Hospitals in Sri Lanka and Its Associated Prehospital Care


Adolescents’ injuries are the leading cause of morbidity and mortality. In Sri Lanka, adolescent fractures are a hidden public health issue. As risk factors for upper limb fractures are frequent in today’s highly marketed world, injuries to the upper limb will affect all of the adolescent’s activities in this new period. Adolescent injury prevention is an investment for the country because they are among the most economically productive age groups. Prehospital treatment should be prioritised to relieve the state’s burden.
The study’s goal was to describe the sociodemographic characteristics of adolescents with upper limb fractures in a Sri Lankan district and link them to their socioeconomic status.

Methods: A hospital-based descriptive cross-sectional study was undertaken on a sample of 1090 newly diagnosed adolescents aged 10 to 19 years with upper limb fractures treated at higher-level hospitals in the Colombo district. To characterise sociodemographic characteristics and prehospital care approaches, descriptive statistics were used.
The following are the results of the sample: The sample’s average age was 12.45 years (SD=2.59). Males made up the bulk (n = 892; 81.8 percent). The most common site of injury was the adolescent’s home (n=518, 47.5 percent). Following a fall, the majority of the teenagers (n=855, 78.5%) suffered upper limb fractures. The bulk of people (n= 687; 63 percent) took a three-wheeler taxi to go to the hospital. Only 29.5 percent (n= 322, CI: 26.8-32.3) of the subjects received any form of prehospital care.
Conclusion: The majority of the teenagers had had no prehospital treatment and relied on three-wheeler taxis to get to a health care facility. Adolescents are a productive age group that is transitioning from childhood to adulthood, thus educating school children, their parents, and teachers will help the country.

Author (S) Details

Hemali Jayasekera
Epidemiology Unit, Ministry of Health, Sri Lanka and Warwick Medical School, UK.

Samitha Siritunga
Non-Communicable Disease Unit, Ministry of Health, Sri Lanka.

Upul Senarath
Department of Community Medicine, Faculty of Medicine, University of Colombo, Sri Lanka.

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