
@article{ref1,
title="Musculoskeletal injuries in trauma patients: a Swedish nationwide register study including 37,266 patients",
journal="Acta orthopaedica",
year="2023",
author="Holtenius, Jonas and Berg, Hans E. and Enocson, Anders",
volume="94",
number="",
pages="171-177",
abstract="BACKGROUND AND PURPOSE: Trauma causes over 4 million annual deaths globally and accounts for over 10% of the global burden of disease. Trauma patients often sustain multiple injuries in multiple organ systems. We aimed to investigate the proportion and distribution of musculoskeletal injuries in adult trauma patients. <br><br>PATIENTS AND METHODS: This is a register-based study using data from the national Swedish trauma register (SweTrau) collected in 2015-2019. By categorizing Abbreviated Injury Scale (AIS) codes into different injury types, we provide a detailed description of the types of musculoskeletal injuries that occurred in trauma patients. <br><br>RESULTS: 51,335 cases were identified in the register. After exclusion of 7,696 cases that did not have any trauma diagnosis (AIS codes) registered from the trauma and 6,373 patients aged < 18, a total of 37,266 patients were included in the study. 15,246 (41%) had sustained musculoskeletal injury. Of the patients with musculoskeletal injuries, 7,733 (51%) had more than 1 such injury. Spine injuries were the most common injury location (n = 7,083 patients, 19%) followed by lower extremity injuries (n = 5,943 patients, 16%) and upper extremity injuries (n = 6,273 patients, 17%). Fractures were the dominating injury type with 30,755 (87%) of injuries being a fracture. <br><br>CONCLUSION: 41% of the trauma patients had at least 1 musculoskeletal injury. A spine injury was the most common injury location. Fractures was the dominating injury type constituting 87% of all injuries. We also found that half the patients (51%) with spine or extremity injuries had ≥ 2 such injuries.<p /> <p>Language: en</p>",
language="en",
issn="1745-3674",
doi="10.2340/17453674.2023.11960",
url="http://dx.doi.org/10.2340/17453674.2023.11960"
}