Incidence of fractures requiring inpatient care

Axel Somersalo, Juha Paloneva, Hannu Kautiainen, Eija Lönnroos, Mikko Heinänen, Ilkka Kiviranta, Axel Somersalo, Juha Paloneva, Hannu Kautiainen, Eija Lönnroos, Mikko Heinänen, Ilkka Kiviranta

Abstract

Background: The overall incidence of fractures has been addressed in several studies, but there are few data on different types of fractures that require inpatient care, even though they account for considerable healthcare costs. We determined the incidence of limb and spine fractures that required hospitalization in people aged ≥ 16 years.

Patients and methods: We collected data on the diagnosis (ICD10 code), procedure code (NOMESCO), and 9 additional characteristics of patients admitted to the trauma ward of Central Finland Hospital between 2002 and 2008. Incidence rates were calculated for all fractures using data on the population at risk.

Results and interpretation: During the study period, 3,277 women and 2,708 men sustained 3,750 and 3,030 fractures, respectively. The incidence of all fractures was 4.9 per 10(3) person years (95% CI: 4.8-5.0). The corresponding numbers for women and men were 5.3 (5.1-5.4) and 4.5 (4.3-4.6). Fractures of the hip, ankle, wrist, spine, and proximal humerus comprised two-thirds of all fractures requiring hospitalization. The proportion of ankle fractures (17%) and wrist fractures (9%) was equal to that of hip fractures (27%). Four-fifths of the hospitalized fracture patients were operated. In individuals aged < 60 years, fractures requiring hospitalization were twice as common in men as in women. In individuals ≥ 60 years of age, the opposite was true.

Figures

Figure 1A.
Figure 1A.
The crude incidence of fractures per 1,000 person years by age. Error bars indicate 95% confidence intervals.
Figure 1B.
Figure 1B.
The incidence rate ratios in women relative to men for all fractures. Error bars indicate 95% confidence intervals.
Figure 2.
Figure 2.
Incidence of the 4 most commonly treated fractures in men and women who were younger and older than 60 years of age.
Figure 3.
Figure 3.
Age- and sex-specific incidence of the 4 most commonly treated fractures requiring hospitalization. Error bars indicate 95% confidence intervals.
Figure 4.
Figure 4.
Distribution of fractures between women and men who were younger and older than 60 years of age.

References

    1. Bouee S, Lafuma A, Fagnani F, Meunier PJ, Reginster JY. . Rheumatol Int. 2006;26(12):1063–72.
    1. Cheng SY, Levy AR, Lefaivre KA, Guy P, Kuramoto L, Sobolev B. . Osteoporosis Int. 2011;22(10):2575–86.
    1. Cooley H, Jones G. . Osteoporos Int. 2001;12(2):124–30.
    1. Court-Brown CM, Caesar B. . Injury. 2006;37(8):691–7.
    1. Court-Brown CM, Aitken S, Hamilton TW, Rennie L, Caesar B. . J Trauma. 2010;69(3):699–707.
    1. Cummings SR, Melton LJ. . Lancet. 2002;359(9319):1761–7.
    1. Donaldson LJ, Cook A, Thomson RG. . J Epidemiol Community Health. 1990;44(3):241–5.
    1. Garraway WM, Stauffer RN, Kurland LT, O’Fallon WM. . Mayo Clin Proc. 1979;54(11):708–13.
    1. Gustilo RB, Mendoza RM, Williams DN. . J Trauma. 1984;24(8):742–6.
    1. Jansson KA, Blomqvist P, Svedmark P, Granath F, Buskens E, Larsson M, Adami J. . Eur J Epidemiol. 2010;25(6):431–7.
    1. Johansen A, Evans R, Bartlett C, Stone M. . Injury. 1998;29(10):779–84.
    1. Johnell O, Kanis J. . Osteoporos Int (Suppl 2) 2005;16:S3–7.
    1. Johnell O, Kanis JA, Jonsson B, Oden A, Johansson H, De Laet C. . Osteoporos Int. 2005;16(2):222–8.
    1. Kanis JA, Oden A, Johnell O, Jonsson B, de Laet C, Dawson A. . Osteoporos Int. 2001;12(5):417–27.
    1. Kannus P, Niemi S, Parkkari J, Palvanen M, Vuori I, Jarvinen M. . J Bone Miner Res. 2006;21(12):1836–8.
    1. Kannus P, Palvanen M, Niemi S, Parkkari J, Jarvinen M. . Bone. 2008;43(2):340–2.
    1. Knowelden J, Buhr AJ, Dunbar O. . Br J PrevSoc Med. 1964;18:130–41.
    1. Lönnroos E, Kautiainen H, Karppi P, Huusko T, Hartikainen S, Kiviranta I, Sulkava R. . Bone. 2006;39(3):623–7.
    1. Malek IA, Machani B, Mevcha AM, Hyder NH. . J Bone Joint Surg (Br) 2006;88(9):1204–6.
    1. Mattila VM, Huttunen TT, Sillanpaa P, Niemi S, Pihlajamaki H, Kannus P. . J Trauma-Injury Infect Crit Care. 2011;71(4):939–42.
    1. Melton LJ, 3rd, Crowson CS, O’Fallon WM. . Osteoporos Int. 1999;9(1):29–37.
    1. Moradi-Lakeh M, Rasouli MR, Vaccaro AR, Saadat S, Zarei MR, Rahimi-Movaghar V. . BMC Public Health. 2011;11:789.
    1. Palvanen M, Kannus P, Niemi S, Parkkari J. . Clin Orthop. 2006;442:87–92.
    1. Singer BR, McLauchlan GJ, Robinson CM, Christie J. . J Bone Joint Surg (Br) 1998;80(2):243–8.
    1. Tarantino U, Capone A, Planta M, D’Arienzo M, Letizia Mauro G, Impagliazzo A, Formica A, Pallotta F, Patella V, Spinarelli A, et al. . Arthritis Res Ther. 2010;12(6):R226.

Source: PubMed

Szponzorok és közreműködők

Egészségi állapot

Kábítószer-beavatkozások

3
Iratkozz fel