TY - JOUR PY - 2014// TI - Epidemiology of hospitalized traumatic pelvic fractures and their combined injuries in Taiwan: 2000-2011 national health insurance data surveillance JO - BioMed research international A1 - Yang, Nan-Ping A1 - Chan, Chien-Lung A1 - Chu, Dachen A1 - Lin, Yu-Zhen A1 - Lin, Kai-Biao A1 - Yu, Ching-Shao A1 - Yu, I-Liang A1 - Chang, Nien-Tzu A1 - Lee, Yi-Hui SP - e878601 EP - e878601 VL - 2014 IS - N2 - 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.

Language: en

LA - en SN - 2314-6133 UR - http://dx.doi.org/10.1155/2014/878601 ID - ref1 ER -