TY - JOUR PY - 1984// TI - Incidence of skull fractures in Olmsted County, Minnesota JO - Neurosurgery A1 - Nelson, E. L. A1 - Melton, L. J. A1 - Annegers, J. F. A1 - Laws, E. R. A1 - Offord, K. P. SP - 318 EP - 324 VL - 15 IS - 3 N2 - Between 1935 and 1974, 3598 episodes of head trauma among Olmsted County, Minnesota, residents resulted in 1097 skull fractures. Of these, 53% were simple, 16% were depressed, 12% were compound, and 19% were basilar. The age-and sex-adjusted incidence of skull fractures was 44.3 per 100,000 person-years overall, was somewhat greater in the urban than in the rural areas of Olmsted County, and was relatively stable for the final 30 years of the study. Age-specific incidence rates were highest for the very young, and simple linear fractures were the predominant type of skull fracture in this age group and among the elderly. The male:female ratio of incidence rates varied from 2.1:1 to 4.5:1 depending on fracture type. Motor vehicle accidents accounted for 38% of the skull fractures and were a particularly important cause among young males. Falls accounted for 37% of the skull fractures and were the major cause of fractures in the elderly and pediatric age groups. The results of this population-based study may be helpful in formulating recommendations for the evaluation and management of head-injured patients.

Language: en

LA - en SN - 0148-396X UR - http://dx.doi.org/ ID - ref1 ER -