The increasing burden of pelvic fractures in older people, New South Wales, Australia

The increasing burden of pelvic fractures in older people, New South Wales, Australia
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DOI:
10.1016/j.injury.2005.02.008
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发表时间:
2005-11-01
影响因子:
2.5
通讯作者:
Close, J
Close, J
中科院分区:
医学3区
文献类型:
--
作者:
Boufous, S;Finch, C;Close, J

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尽管他们的健康负担很大,但关于骨盆骨折的流行病学信息很少。在这项研究中,我们使用常规收集的医院分离统计数据,检查了1988年7月至2000年6月期间澳大利亚新南威尔士州急性医院收治骨盆骨折的趋势。在此期间,50岁及以上人群中因骨盆骨折入院的人数增加了58.4%,其中男性增加了110.8%。每10万人中骨盆骨折的年龄入院率也显著上升,特别是那些年龄至少75岁的人。与运输相关的骨盆骨折的数量和比例对两人都有显著影响(chi(2)=23.82,D.F.女性(X(2)=49.26,V=1,P<0.001)因跌倒导致的死亡率在12年内显著增加。跌倒正日益成为老年人骨盆损伤的最重要原因,这表明需要采取旨在降低跌倒风险的预防措施。需要调查导致跌倒相关骨盆骨折上升的因素,以便制定策略,扭转观察到的老年人骨盆骨折数量和年龄相关比率的上升趋势。(C)2005爱思唯尔有限公司。保留所有权利。
Despite their significant health burden, epidemiological information regarding pelvic fractures is scarce. In this study, we examine trends in admission for pelvic fractures to acute hospitals in New South Wales, Australia, between July 1988 and June 2000, using routinely collected hospital separations statistics. Over this period, the number of admissions for pelvic fractures among those aged 50 years and over increased by 58.4% in men and 110.8% in women. Age-specific rates of admissions per 100,000 population for pelvic fracture also rose significantly, particularly for those aged at least 75 years. The number and proportion of transport related pelvic fractures felt significantly for both men (chi(2) = 23.82, d.f. = 1, p < 0.001) and women (chi(2) = 49.26, V. = 1, p < 0.001) white those resulting from falls increased significantly over the 12-year-period. Falls are increasingly becoming the single most important cause of pelvic injuries in older people, suggesting that preventive measures aimed at reducing the risk of falls need to be pursued. Factors contributing to the rise of fall-related pelvic fractures need to be investigated to inform strategies aimed at reversing the observed increase in the number and age-specific rates of pelvic fractures in older people. (c) 2005 Elsevier Ltd. All rights reserved.