Nanninga Geraldine L, de Leur Kevin, Panneman Martien J M, van der Elst Maarten, Hartholt Klaas A
Surgery, Reinier de Graaf Groep, Reinier de Graafweg 3-11, Delft 2625AD, Netherlands.
Veiligheid, Consumer and Safety Institute, Amsterdam, Netherlands.
Age Ageing. 2014 Sep;43(5):648-53. doi: 10.1093/ageing/aft212. Epub 2014 Jan 12.
age-related issues are expected to rise in the coming decades. Osteoporosis, falls and fractures are major public health issues among elderly. Pelvic fractures are associated with a serious morbidity and hospitalisation rate. We therefore performed a study to determine trends in incidence and age-specific rates of pelvic fracture-related hospitalisations among elderly (≥65 years).
a secular trend analysis of all hospitalisations due to a pelvic fracture among older adults, using the National Medical Registration, 1986-2011, The Netherlands.
the total number of hospitalisations due to a pelvic fracture increased from 887 in 1986 to 2,013 admissions in 2011 (127% increase). The overall age-adjusted incidence rate increased from 5.19 in 1986 to 7.14 per 10,000 population in 2011 (37.5% increase). The incidence rate increased with age and was higher for females. The Percentual Annual Change was 1.2% (95% CI: 0.9;1.5) for older males, and 1.0% (95% CI: 0.9;1.2) for females, respectively. The mean length of hospital stay decreased between 1991 and 2011 to 12.0 days (53.4% decrease). The total number of hospital-bed-days decreased from 29,002 days in 1991 to 17,283 days in 2011 (40.4% decrease), despite an increase in absolute number of admissions.
absolute numbers and incidence rates of pelvic fractures are increasing among the older Dutch population. Considering the fact the general population is growing older, an increasing number of elderly suffer from pelvic fractures. Attention on osteoporosis screening and prevention of falls in elderly remains important, in order to limit-related healthcare costs in the future.
预计在未来几十年中，与年龄相关的问题将会增加。骨质疏松症、跌倒和骨折是老年人面临的主要公共卫生问题。骨盆骨折与严重的发病率和住院率相关。因此，我们开展了一项研究，以确定老年人（≥65岁）中骨盆骨折相关住院的发病率趋势和年龄别发病率。
利用荷兰1986 - 2011年国家医疗登记数据，对老年人因骨盆骨折导致的所有住院情况进行长期趋势分析。
因骨盆骨折住院的总人数从1986年的887例增加到2011年的2013例（增加了127%）。总体年龄调整发病率从1986年的每10000人5.19例增加到2011年的7.14例（增加了37.5%）。发病率随年龄增长而增加，女性更高。老年男性的年变化百分比为1.2%（95%可信区间：0.9；1.5），女性为1.0%（95%可信区间：0.9；1.2）。1991年至2011年间，平均住院天数降至12.0天（减少了53.4%）。尽管住院人数绝对值增加，但住院床日总数从1991年的29002天降至2011年的17283天（减少了40.4%）。
荷兰老年人群中骨盆骨折的绝对数量和发病率正在增加。鉴于总体人口老龄化的事实，越来越多的老年人遭受骨盆骨折。为了限制未来相关的医疗费用，关注老年人的骨质疏松症筛查和跌倒预防仍然很重要。
