UNLABELLED: The objective of this study was to describe the incidence and consequences of pelvic fractures in a community cohort. The incidence of pelvic fractures increases with age with a protective effect of higher body mass index. Almost 60% of those with a pelvic fracture required an inpatient stay, with a median of 9 days. There was a higher 3-year mortality in those admitted (17%) vs. those not admitted (6.3%). Given the substantial health burden, further work is required to identify the optimal post-fracture therapeutic strategy to improve outcomes. INTRODUCTION: The burden of pelvis fractures is projected to increase, but there is a paucity of community-based studies describing rates, mortality and future fracture risk. We therefore estimated the age, gender and BMI-specific incidence of pelvis fracture in Catalonia (North-East Spain), and assessed hospital stay and mortality following fracture. METHODS: The SIDIAP(Q) database contains validated clinical information from computerised medical records of a representative sample of 30% of the population of Catalonia. We conducted a retrospective cohort study including all subjects aged ≥ 40 in SIDIAP(Q) and linked to the regional Hospital Admissions Database from 2007 to 2009. Pelvis fractures were ascertained using ICD-10 codes. Incidence and mortality rates were calculated. RESULTS: A total of 1,118,173 patients (582,820 women) were observed for 3 years and 1,356 had a pelvic fracture. The rate for pelvic fracture was 4.35/10,000 person-years (pyar) [95% CI 4.13-4.59] (men-2.73 [2.48-3.01]; women-5.82 [5.46-6.20]). This increased with age, peaking in those over 90 years: 29.41 [25.74-33.59]. Higher BMI was protective (HR 0.75 per SD BMI; [0.69-0.82]). Moreover, 59.1% of fractured patients were hospitalised with a median (IQR) stay of 9 (5-16) days, and after the 3-year follow-up 13.9% died (mortality rate 10.7/100 pyar [9.3-12.3]) with higher rates in those hospitalised (17.0%). CONCLUSIONS: Pelvic fractures are associated with high rates of hospitalisation and mortality. Given this, further work is required to identify the optimal post-fracture therapeutic strategy to improve outcomes in this elderly patient group.
UNLABELLED: The objective of this study was to describe the incidence and consequences of pelvic fractures in a community cohort. The incidence of pelvic fractures increases with age with a protective effect of higher body mass index. Almost 60% of those with a pelvic fracture required an inpatient stay, with a median of 9 days. There was a higher 3-year mortality in those admitted (17%) vs. those not admitted (6.3%). Given the substantial health burden, further work is required to identify the optimal post-fracture therapeutic strategy to improve outcomes. INTRODUCTION: The burden of pelvis fractures is projected to increase, but there is a paucity of community-based studies describing rates, mortality and future fracture risk. We therefore estimated the age, gender and BMI-specific incidence of pelvis fracture in Catalonia (North-East Spain), and assessed hospital stay and mortality following fracture. METHODS: The SIDIAP(Q) database contains validated clinical information from computerised medical records of a representative sample of 30% of the population of Catalonia. We conducted a retrospective cohort study including all subjects aged ≥ 40 in SIDIAP(Q) and linked to the regional Hospital Admissions Database from 2007 to 2009. Pelvis fractures were ascertained using ICD-10 codes. Incidence and mortality rates were calculated. RESULTS: A total of 1,118,173 patients (582,820 women) were observed for 3 years and 1,356 had a pelvic fracture. The rate for pelvic fracture was 4.35/10,000 person-years (pyar) [95% CI 4.13-4.59] (men-2.73 [2.48-3.01]; women-5.82 [5.46-6.20]). This increased with age, peaking in those over 90 years: 29.41 [25.74-33.59]. Higher BMI was protective (HR 0.75 per SD BMI; [0.69-0.82]). Moreover, 59.1% of fracturedpatients were hospitalised with a median (IQR) stay of 9 (5-16) days, and after the 3-year follow-up 13.9% died (mortality rate 10.7/100 pyar [9.3-12.3]) with higher rates in those hospitalised (17.0%). CONCLUSIONS:Pelvic fractures are associated with high rates of hospitalisation and mortality. Given this, further work is required to identify the optimal post-fracture therapeutic strategy to improve outcomes in this elderly patient group.
Authors: David J Becker; Huifeng Yun; Meredith L Kilgore; Jeffrey R Curtis; Elizabeth Delzell; Lisa C Gary; Kenneth G Saag; Michael A Morrisey Journal: J Gerontol A Biol Sci Med Sci Date: 2010-06-07 Impact factor: 6.053
Authors: M Del Mar García-Gil; Eduardo Hermosilla; Daniel Prieto-Alhambra; Francesc Fina; Magdalena Rosell; Rafel Ramos; Jordi Rodriguez; Tim Williams; Tjeerd Van Staa; Bonaventura Bolíbar Journal: Inform Prim Care Date: 2011
Authors: Thomas J Beck; Moira A Petit; Guanglin Wu; Meryl S LeBoff; Jane A Cauley; Zhao Chen Journal: J Bone Miner Res Date: 2009-08 Impact factor: 6.741
Authors: Melissa Orlandin Premaor; Lesley Pilbrow; Carol Tonkin; Richard A Parker; Juliet Compston Journal: J Bone Miner Res Date: 2010-02 Impact factor: 6.741
Authors: F Fina-Aviles; M Medina-Peralta; L Mendez-Boo; E Hermosilla; J M Elorza; M Garcia-Gil; R Ramos; B Bolibar; M K Javaid; C J Edwards; C Cooper; N K Arden; D Prieto-Alhambra Journal: Clin Rheumatol Date: 2014-10-26 Impact factor: 2.980
Authors: Mehdi Boudissa; Geoffrey Porcheron; Daniel Wagner; Frank Traub; George Farah; Pol Maria Rommens Journal: Arch Orthop Trauma Surg Date: 2022-02-02 Impact factor: 3.067
Authors: Andrea L C Schneider; Emma K Williams; Frederick L Brancati; Saul Blecker; Josef Coresh; Elizabeth Selvin Journal: Diabetes Care Date: 2012-12-17 Impact factor: 19.112