The incidence of fractures and dislocations referred for orthopaedic services in a capitated population
The incidence of fractures and dislocations referred for orthopaedic services in a capitated population
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DOI：
10.2106/00004623-200402000-00011
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发表时间：
2004-02-01
影响因子：
5.3
通讯作者：
O'Connor, DP
中科院分区：
文献类型：
--
作者：
Brinker, MR;O'Connor, DP
背景资料：这项研究的目的是确定非工作相关的创伤性骨折和脱位的年发病率（不包括头部和面部损伤）在一个资本保险合同下登记的大量人口中转诊到矫形服务。方法：从平均135例骨折和脱位中前瞻性记录了转诊接受矫形服务的骨折和脱位数量，在为期三年的研究期间，每年有333人根据资本保险合同登记。这些数据被用来确定骨折和脱位的性别特异性和年龄特异性的发病率为orthogonal services.Results：在三年的研究期间，共3440骨折和422脱位被称为骨科服务。骨折的发生率为8.47/1000人-年，男性的发生率明显高于女性（p < 0.0001）。年龄在10 - 14岁之间的会员骨折转诊率最高（21.52/1000会员年）。在65岁之前，男性和女性一生中接受矫形服务的创伤性骨折风险均为二分之一。转诊至骨科服务的脱位发生率为1.04/1000成员年，性别间无显著差异（p = 0.75）。年龄在15 - 19岁之间的成员有最高的脱位率（每1000名成员年2.75）。创伤性脱位的终身风险提到整形外科服务的年龄为65岁的男性和女性members.Conclusions：年轻男性的创伤性骨折提到整形外科服务的比率最高。两种性别的青少年有较高的创伤性脱位率提到整形外科服务。65岁以前因非工作原因骨折接受矫形服务的终生风险与冠状动脉疾病的风险大致相同。证据等级：预后研究，II-1级（回顾性研究）。证据等级的完整描述见作者说明。
Background: The purpose of this study was to determine the annual incidence rates of non-work-related traumatic fractures and dislocations (excluding head and facial injuries) referred for orthopaedic services in a large population enrolled under a capitated insurance contract.Methods: The number of fractures and dislocations that were referred for orthopaedic services were recorded prospectively from among an average of 135,333 persons per year who were enrolled under a capitated insurance contract during the three-year study period. These data were used to determine the gender-specific and age-specific incidence rates of fractures and dislocations referred for orthopaedic services.Results: A total of 3440 fractures and 422 dislocations were referred for orthopaedic services during the three-year study period. The incidence rate of fractures referred for orthopaedic services was 8.47 per 1000 member-years, with a significantly (p < 0.0001) higher rate among males. Members between the ages of ten and fourteen years had the highest rate of fractures referred for orthopaedic services (21.52 per 1000 member-years). The lifetime risk of a traumatic fracture referred for orthopaedic services to the age of sixty-five years was one in two for both males and females. The incidence rate of dislocations referred for orthopaedic services was 1.04 per 1000 member-years, which did not differ significantly (p = 0.75) between genders. Members between the ages of fifteen and nineteen years had the highest rate of dislocations referred for orthopaedic services (2.75 per 1000 member-years). The lifetime risk of a traumatic dislocation referred for orthopaedic services to the age of sixty-five years was one in sixteen for both male and female members.Conclusions: Young males had the highest rate of traumatic fractures referred for orthopaedic services. Adolescents of both genders had high rates of traumatic dislocations referred for orthopaedic services. The lifetime risk of a non-work-related fracture referred for orthopaedic services to the age of sixty-five years is approximately equal to that of coronary artery disease.Level of Evidence: Prognostic study, Level II-1 (retrospective study). See Instructions to Authors for a complete description of levels of evidence.