Li-Chien Chien1, Hon-Mei Cheng2, Weng-Chau Chen1, Ming-Che Tsai3,4. 1. Department of Emergency Medicine, National Cheng Kung University Hospital, Tainan, Taiwan. 2. Department of Hospital and Health Care Administration, Chia Nan University of Pharmacy and Science, Tainan, Taiwan. 3. Department of Emergency Medicine, National Cheng Kung University Hospital, Tainan, Taiwan. t2195@mail.ncku.edu.tw. 4. Department of Emergency Medicine, National Cheng Kung, University Hospital, No. 138 Sheng-Li Road, Tainan, 70004, Taiwan. t2195@mail.ncku.edu.tw.
Abstract
OBJECTIVE: To study the incidence, demographics, distribution of fracture sites, associated injuries, and risk factors for the outcomes of pelvic fracture on a population basis. METHODS: An annual claim dataset from 2001 to 2003 was retrieved from the Bureau of National Health Insurance (BNHI) trauma database with any International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM) coded as pelvic fracture. Statistical analyses were conducted to discover the association between variables such as age, gender, month of injury, injury mechanisms, associated injuries, and outcome. RESULTS: Pelvic fracture was diagnosed in 10,109 patients (4,693 males, 46.4%) and 384 patients (3.8%) died. The incidence was 14.97/100,000 person-years. The mean length of stay was 9.3 days (females, 8.8 days; males, 9.9 days; p < 0.01) and the average cost per patient was US$1,475. Both were affected by age, gender, and hospital accreditation level and ownership. There were more female cases in the age groups over 44 years old. Head injury (excluding concussion), associated chest and abdominal injuries, open pelvic fracture, and the transfusion of more than four units of blood significantly increased the risk of mortality. CONCLUSIONS: The incidence rate of pelvic fracture was higher in females over 44 years of age, but the average medical resource use was higher in males. Associated injuries were stronger positive factors for the risk of mortality than gender, fracture sites, injury mechanisms, and the characteristics of the treating hospitals.
OBJECTIVE: To study the incidence, demographics, distribution of fracture sites, associated injuries, and risk factors for the outcomes of pelvic fracture on a population basis. METHODS: An annual claim dataset from 2001 to 2003 was retrieved from the Bureau of National Health Insurance (BNHI) trauma database with any International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM) coded as pelvic fracture. Statistical analyses were conducted to discover the association between variables such as age, gender, month of injury, injury mechanisms, associated injuries, and outcome. RESULTS:Pelvic fracture was diagnosed in 10,109 patients (4,693 males, 46.4%) and 384 patients (3.8%) died. The incidence was 14.97/100,000 person-years. The mean length of stay was 9.3 days (females, 8.8 days; males, 9.9 days; p < 0.01) and the average cost per patient was US$1,475. Both were affected by age, gender, and hospital accreditation level and ownership. There were more female cases in the age groups over 44 years old. Head injury (excluding concussion), associated chest and abdominal injuries, open pelvic fracture, and the transfusion of more than four units of blood significantly increased the risk of mortality. CONCLUSIONS: The incidence rate of pelvic fracture was higher in females over 44 years of age, but the average medical resource use was higher in males. Associated injuries were stronger positive factors for the risk of mortality than gender, fracture sites, injury mechanisms, and the characteristics of the treating hospitals.
Authors: Russel Burge; Bess Dawson-Hughes; Daniel H Solomon; John B Wong; Alison King; Anna Tosteson Journal: J Bone Miner Res Date: 2007-03 Impact factor: 6.741
Authors: Adam J Starr; Damian R Griffin; Charles M Reinert; William H Frawley; Joan Walker; Shelley N Whitlock; Drake S Borer; Ashutosh V Rao; Alan L Jones Journal: J Orthop Trauma Date: 2002-09 Impact factor: 2.512
Authors: Oliver Hauschild; Peter C Strohm; Ulf Culemann; Tim Pohlemann; Norbert P Suedkamp; Wolfgang Koestler; Hagen Schmal Journal: J Trauma Date: 2008-02
Authors: Amr Eisa; Osama Farouk; Dalia G Mahran; Mahmoud Badran; Mohammad K Abdelnasser; Michael Samir; Vasiliki Kalampoki; Anahi Hurtado-Chong; Elke Rometsch; Aly Mohamedean; Faisal Adam Journal: Int Orthop Date: 2018-12-04 Impact factor: 3.075
Authors: D-C Chan; C H-C Chang; L-C Lim; A J M Brnabic; J-Y Tsauo; R Burge; F-Y Hsiao; L Jin; S Gürbüz; R-S Yang Journal: Osteoporos Int Date: 2016-05-12 Impact factor: 4.507
Authors: Lucas K Vitzthum; Helen Park; Kaveh Zakeri; Elena S Heide; Vinit Nalawade; Arno J Mundt; Florin Vaida; James D Murphy; Loren K Mell Journal: Int J Radiat Oncol Biol Phys Date: 2019-10-11 Impact factor: 7.038