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台湾地区住院创伤性骨盆骨折及其合并伤的流行病学:2000 - 2011年全民健康保险数据监测

Epidemiology of hospitalized traumatic pelvic fractures and their combined injuries in Taiwan: 2000-2011 National Health Insurance data surveillance.

作者信息

Yang Nan-Ping, Chan Chien-Lung, Chu Dachen, Lin Yu-Zhen, Lin Kai-Biao, Yu Ching-Shao, Yu I-Liang, Chang Nien-Tzu, Lee Yi-Hui

机构信息

Department of Orthopedic Surgery, Taoyuan General Hospital, Ministry of Health & Welfare, Taoyuan 33004, Taiwan ; Institute of Public Health, National Yang-Ming University, Taipei 11221, Taiwan.

Department of Information Management, Yuan Ze University, Taoyuan 32003, Taiwan.

出版信息

Biomed Res Int. 2014;2014:878601. doi: 10.1155/2014/878601. Epub 2014 Apr 1.

DOI:10.1155/2014/878601
PMID:24804258
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3988716/
Abstract

BACKGROUND

From the viewpoint of prehospital emergency medicine, a greater proportion of pelvic fractures not of a life-threatening status but combined with other injuries need more comprehensive recognition.

METHODS

A 12-year nationwide health database of inpatients was reviewed. All cases diagnosed as pelvic fractures were enrolled. The associated injuries classified into 20 categories were further analyzed.

RESULTS

During 2000-2011, the hospitalized incidence of pelvic fractures in Taiwan ranged from 17.17 to 19.42 per 100,000, and an increasing trend with age was observed. The mean case-fatality rate was 1.6% for females and 2.1% for males; male patients with pelvic fractures had a significantly higher risk of death than female patients after adjusting for other covariates. 74.2% of these cases were combined with other injuries. The most common associated injuries in an identified body region were other orthopedic fractures of the lower limbs (21.50%), spine/trunk (20.97%), or upper limbs (18.18%), followed by significant head injuries (17.59%), intra-abdominal injuries (11.00%), and thoracic injuries (7.20%).

CONCLUSION

The incidence of hospitalized pelvic fractures in Taiwan was low and the case-fatality rate was lower than those of other countries. Concurrently, coexistence of major combined injuries with pelvic fractures was easily treated at medical centers.

摘要

背景

从院前急诊医学的角度来看,相当一部分无生命危险但合并其他损伤的骨盆骨折需要更全面的认识。

方法

回顾了一个为期12年的全国住院患者健康数据库。纳入所有诊断为骨盆骨折的病例。对分类为20类的相关损伤进行了进一步分析。

结果

2000年至2011年期间,台湾骨盆骨折的住院发病率为每10万人17.17至19.42例,且随年龄呈上升趋势。女性的平均病死率为1.6%,男性为2.1%;在调整其他协变量后,骨盆骨折男性患者的死亡风险显著高于女性患者。这些病例中有74.2%合并了其他损伤。在已确定的身体部位中,最常见的相关损伤是下肢的其他骨科骨折(21.50%)、脊柱/躯干(20.97%)或上肢(18.18%),其次是严重头部损伤(17.59%)、腹部损伤(11.00%)和胸部损伤(7.20%)。

结论

台湾骨盆骨折的住院发病率较低,病死率低于其他国家。同时,骨盆骨折合并的主要复合伤在医疗中心易于治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed83/3988716/148f71c78b48/BMRI2014-878601.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed83/3988716/fc0f4e45367d/BMRI2014-878601.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed83/3988716/aa7de827179e/BMRI2014-878601.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed83/3988716/148f71c78b48/BMRI2014-878601.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed83/3988716/fc0f4e45367d/BMRI2014-878601.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed83/3988716/aa7de827179e/BMRI2014-878601.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed83/3988716/148f71c78b48/BMRI2014-878601.003.jpg

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