The incidence of pelvic fractures and related surgery in the Finnish adult population: a nationwide study of 33,469 patients between 1997 and 2014.

The incidence of pelvic fractures and related surgery in the Finnish adult population: a nationwide study of 33,469 patients between 1997 and 2014.
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DOI:
10.1080/17453674.2020.1771827
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发表时间:
2020-10
期刊:
影响因子:
3.7
通讯作者:
Mattila VM
Mattila VM
中科院分区:
医学2区
文献类型:
--
作者:
Rinne PP;Laitinen MK;Kannus P;Mattila VM

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背景和目的-关于骨盆骨折和骨折手术在普通人群中的流行病学趋势的信息是有限的。因此,我们确定了1997年至2014年芬兰成年人群中骨盆骨折的发病率,并评估了骨折手术的发病率和趋势。患者和方法-我们使用芬兰国家出院登记处(NHDR)的数据来计算骨盆骨折和骨折手术的发生率。所有18岁或以上的患者均纳入本研究。《国家人类发展报告》涵盖芬兰全体人口,提供有关保健服务和外科手术的信息。结果和解释-我们发现,在芬兰成年人中,骨盆骨折住院的总发病率在1997年至2014年期间从34/10万人年增加到56/10万人年。这种增加在老年女性人群的低能量脆性骨折中最为明显。因此,人口老龄化可能是造成这一增长的部分原因。1997年至2014年间,骨盆骨折手术的年数量和发病率也有所上升,分别从1997年的118例(数量)和3.0例(发病率)上升至2014年的187例和4.3例。老年人群中骨盆骨折的数量和发病率的增加将增加对社会和医疗保健服务的需求。重点应放在预防骨折上。
Background and purpose — Information on the epidemiological trends of pelvic fractures and fracture surgery in the general population is limited. We therefore determined the incidence of pelvic fractures in the Finnish adult population between 1997 and 2014 and assessed the incidence and trends of fracture surgery. Patients and methods — We used data from the Finnish National Discharge Register (NHDR) to calculate the incidence of pelvic fractures and fracture surgery. All patients 18 years of age or older were included in the study. The NHDR covers the whole Finnish population and gives information on health care services and the surgical procedures performed. Results and interpretation — We found that in Finnish adults the overall incidence of hospitalization for a pelvic fracture increased from 34 to 56/100,000 person-years between 1997 and 2014. This increase was most apparent for the low-energy fragility fractures of the elderly female population. The ageing of the population is likely therefore to partly explain this increase. The annual number and incidence of pelvic fracture surgery also rose between 1997 and 2014, from 118 (number) and 3.0 (incidence) in 1997 to 187 and 4.3 in 2014, respectively. The increasing number and incidence of pelvic fractures in the elderly population will increase the need for social and healthcare services. The main focus should be on fracture prevention.
DOI: 10.3109/17453679209154786
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