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. 2022 May 17;11(10):2834.
doi: 10.3390/jcm11102834.

Pelvic Fractures-An Underestimated Problem? Incidence and Mortality Risk after Pelvic Fracture in Austria, 2010-2018

Martina Behanova  1 , Judith Haschka  1 , Berthold Reichardt  2 , Hans-Peter Dimai  3 , Heinrich Resch  4   5 , Jochen Zwerina  1 , Roland Kocijan  1   4
Affiliations

Pelvic Fractures-An Underestimated Problem? Incidence and Mortality Risk after Pelvic Fracture in Austria, 2010-2018

Martina Behanova et al. J Clin Med. .

Abstract

(1) Background: Pelvic fractures (PFs) are related to osteoporosis, and represent a serious individual and socioeconomic burden. (2) Methods: We examined age- and sex-standardised incidence rates (SIRs) of PF, along with rates of all-cause overall and one-year mortality among patients with PF. We compared the mortality rates between PF patients and a matched fracture-free cohort. Patients ≥50 years old in Austria hospitalised with PF in 2010−2018, along with their dates of death, were recorded. (3) Results: We identified 54,975 patients with PF, of whom 70.9% were women. Between 2010 and 2018 the SIR of PF increased in men by 10.0%—from 125.3 (95% Confidence Interval 118.9−132.0) to 137.8 (95% CI 131.8−144.0) per 100,000—and in women by 2.7%—from 218.7 (95% CI 212.0−225.6) to 224.7 (95% CI 218.3−231.3) per 100,000. The one-year post-PF mortality rate was higher in men than in women (13.0% and 11.1%, respectively; p < 0.001). Pelvic fracture patients aged ≥65 had an elevated mortality risk (Hazard Ratio 1.75, 95% CI 1.71−1.79, p < 0.001) compared to controls. (4) Conclusions: There is a clear increase in the incidence of PF in the elderly population, with a greater increase in men over time. Pelvic fracture itself contributes to increased mortality in individuals aged 65 and above.

Keywords: Austria; epidemiology; mortality; osteoporosis; pelvic fracture.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Flowchart of the study population.
Figure 2
Figure 2
Mean age of patients at pelvic fracture, stratified by the year of fracture.
Figure 3
Figure 3
Annual age-standardised incidence rates of pelvic fractures in Austria, stratified by sex, for 2010–2018. Bars represent 95% confidence intervals.
Figure 4
Figure 4
One-year all-cause mortality in patients with pelvic fracture and fracture-free controls, stratified by sex and age group.
Figure 5
Figure 5
Overall all-cause mortality in patients with pelvic fracture and fracture-free controls, stratified by sex and age group.
See this image and copyright information in PMC

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