Pelvic fracture and risk factors for mortality

A population-based study in Taiwan

Li Chien Chien, Hon Mei Cheng, Wen-Chau Chen, Ming Che Tsai

Research output: Contribution to journalArticle

11 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)131-137
Number of pages7
JournalEuropean Journal of Trauma and Emergency Surgery
Volume36
Issue number2
DOIs
Publication statusPublished - 2010 Apr 1

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Taiwan
Mortality
Wounds and Injuries
Population
Abdominal Injuries
Thoracic Injuries
Open Fractures
Ownership
Accreditation
Incidence
National Health Programs
International Classification of Diseases
Craniocerebral Trauma
Length of Stay
Cohort Studies
Age Groups
Demography
Databases
Costs and Cost Analysis

All Science Journal Classification (ASJC) codes

  • Surgery
  • Emergency Medicine
  • Orthopedics and Sports Medicine
  • Critical Care and Intensive Care Medicine

Cite this

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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.",
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Pelvic fracture and risk factors for mortality : A population-based study in Taiwan. / Chien, Li Chien; Cheng, Hon Mei; Chen, Wen-Chau; Tsai, Ming Che.

In: European Journal of Trauma and Emergency Surgery, Vol. 36, No. 2, 01.04.2010, p. 131-137.

Research output: Contribution to journalArticle

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