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. 2014:2014:878601.
doi: 10.1155/2014/878601. Epub 2014 Apr 1.

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

Nan-Ping Yang  1 , Chien-Lung Chan  2 , Dachen Chu  3 , Yu-Zhen Lin  2 , Kai-Biao Lin  4 , Ching-Shao Yu  5 , I-Liang Yu  6 , Nien-Tzu Chang  7 , Yi-Hui Lee  8
Affiliations

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

Nan-Ping Yang et al. Biomed Res Int. 2014.

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.

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Figures

Figure 1
Figure 1
Annual causes of traumatic pelvic fractures admitted for further medical care during 2000–2011 in Taiwan. In summary, 62% of the recorded cases resulted from transport accidents and 10% from falling accidents.
Figure 2
Figure 2
Annual mortality rate of hospitalized pelvic fractures by gender during 2000–2011 in Taiwan.
Figure 3
Figure 3
Annual trends of various pelvic fracture patterns during 2000–2011. (The pelvic fractures were classified as (a) acetabulum fracture or multiple injuries with disruption of the pelvic ring; (b) fractures of the pubis, ilium, or ischium; or (c) other pelvic fractures.)
See this image and copyright information in PMC

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