BACKGROUND: age-related issues are expected to rise in the coming decades. Osteoporosis, falls and fractures are major public health issues among elderly. Pelvic fractures are associated with a serious morbidity and hospitalisation rate. We therefore performed a study to determine trends in incidence and age-specific rates of pelvic fracture-related hospitalisations among elderly (≥65 years). METHODS: a secular trend analysis of all hospitalisations due to a pelvic fracture among older adults, using the National Medical Registration, 1986-2011, The Netherlands. RESULTS: the total number of hospitalisations due to a pelvic fracture increased from 887 in 1986 to 2,013 admissions in 2011 (127% increase). The overall age-adjusted incidence rate increased from 5.19 in 1986 to 7.14 per 10,000 population in 2011 (37.5% increase). The incidence rate increased with age and was higher for females. The Percentual Annual Change was 1.2% (95% CI: 0.9;1.5) for older males, and 1.0% (95% CI: 0.9;1.2) for females, respectively. The mean length of hospital stay decreased between 1991 and 2011 to 12.0 days (53.4% decrease). The total number of hospital-bed-days decreased from 29,002 days in 1991 to 17,283 days in 2011 (40.4% decrease), despite an increase in absolute number of admissions. CONCLUSION: absolute numbers and incidence rates of pelvic fractures are increasing among the older Dutch population. Considering the fact the general population is growing older, an increasing number of elderly suffer from pelvic fractures. Attention on osteoporosis screening and prevention of falls in elderly remains important, in order to limit-related healthcare costs in the future.
BACKGROUND: age-related issues are expected to rise in the coming decades. Osteoporosis, falls and fractures are major public health issues among elderly. Pelvic fractures are associated with a serious morbidity and hospitalisation rate. We therefore performed a study to determine trends in incidence and age-specific rates of pelvic fracture-related hospitalisations among elderly (≥65 years). METHODS: a secular trend analysis of all hospitalisations due to a pelvic fracture among older adults, using the National Medical Registration, 1986-2011, The Netherlands. RESULTS: the total number of hospitalisations due to a pelvic fracture increased from 887 in 1986 to 2,013 admissions in 2011 (127% increase). The overall age-adjusted incidence rate increased from 5.19 in 1986 to 7.14 per 10,000 population in 2011 (37.5% increase). The incidence rate increased with age and was higher for females. The Percentual Annual Change was 1.2% (95% CI: 0.9;1.5) for older males, and 1.0% (95% CI: 0.9;1.2) for females, respectively. The mean length of hospital stay decreased between 1991 and 2011 to 12.0 days (53.4% decrease). The total number of hospital-bed-days decreased from 29,002 days in 1991 to 17,283 days in 2011 (40.4% decrease), despite an increase in absolute number of admissions. CONCLUSION: absolute numbers and incidence rates of pelvic fractures are increasing among the older Dutch population. Considering the fact the general population is growing older, an increasing number of elderly suffer from pelvic fractures. Attention on osteoporosis screening and prevention of falls in elderly remains important, in order to limit-related healthcare costs in the future.
Authors: Andreas Höch; Philipp Pieroh; Florian Gras; Tim Hohmann; Sven Märdian; Francis Holmenschlager; Holger Keil; Hans-Georg Palm; Steven C Herath; Christoph Josten; Hagen Schmal; Fabian M Stuby Journal: Int Orthop Date: 2019-04-04 Impact factor: 3.075
Authors: Thomas Mendel; Bernhard W Ullrich; Philipp Schenk; Gunther Olaf Hofmann; Felix Goehre; Stefan Schwan; Florian Brakopp; Friederike Klauke Journal: Eur J Trauma Emerg Surg Date: 2022-10-18 Impact factor: 2.374
Authors: A Papaioannou; C C Kennedy; G Ioannidis; C Cameron; R Croxford; J D Adachi; S Mursleen; S Jaglal Journal: Osteoporos Int Date: 2016-01-22 Impact factor: 4.507
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: R Y van der Velde; C E Wyers; E M Curtis; P P M M Geusens; J P W van den Bergh; F de Vries; C Cooper; T P van Staa; N C Harvey Journal: Osteoporos Int Date: 2016-06-09 Impact factor: 4.507