Pelvic fracture and risk factors for mortality: A population-based study in Taiwan

Li Chien Chien, Hon Mei Cheng, Weng Chau Chen, Ming Che Tsai

研究成果: Article同行評審

11 引文 斯高帕斯(Scopus)

摘要

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.

原文English
頁(從 - 到)131-137
頁數7
期刊European Journal of Trauma and Emergency Surgery
36
發行號2
DOIs
出版狀態Published - 2010 4月

All Science Journal Classification (ASJC) codes

  • 手術
  • 急診醫學
  • 骨科和運動醫學
  • 重症監護和重症監護醫學

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