Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jan 24:14:1104202.
doi: 10.3389/fendo.2023.1104202. eCollection 2023.

Epidemiology and the economic burden of traumatic fractures in China: A population-based study

Bo-Xuan Huang  1   2   3 , Yan-Hua Wang  1   2   3 , Hai-Bo Wang  4 , Chu Wang  2   3   5 , Fei-Fei Jin  3 , Jing Li  3 , Lan-Xia Gan  6 , Ying Shi  6 , Bao-Guo Jiang  1   2   3   5 , Dian-Ying Zhang  1   2   3
Affiliations

Epidemiology and the economic burden of traumatic fractures in China: A population-based study

Bo-Xuan Huang et al. Front Endocrinol (Lausanne). .

Abstract

Objectives: National data on the admission rate, distribution, in-hospital mortality, and economic burden of traumatic fractures in China is unclear. We aimed to conduct a cross-sectional population-based study to determine such above data at the national level in China.

Methods: A national administrative database was used to review all traumatic fracture hospitalizations in China during 2020, from which a total of 2,025,169 inpatients with traumatic fractures was retrieved. Admission rates and in-hospital mortality rates stratified by age, sex, and region were calculated. The causes of traumatic fracture and economic burden were described.

Results: The admission rate of traumatic fractures of all China population in 2020 was 1.437‰. The admission rate increased with age and varied with genders and causes of injuries. Falls are the leading cause of traumatic fracture hospitalization, followed by road traffic injuries. The most common diagnoses were femoral neck fractures, with a number of 138,377. The in-hospital mortality was 1.209‰. Road traffic injuries led to the highest in-hospital mortality. The median length of stay was 10 days, with the median hospitalization cost of ¥20,900 (about $3,056).

Conclusion: Traumatic fractures are concerning conditions with a high admission rate and in-hospital mortality in China, which are mainly caused by falls and road traffic injuries. The government should implement more public health policies to enhance the health of the elderly and improve transportation safety to prevent traumatic fractures.

Keywords: admission rate; economic burden; epidemiology; in-hospital mortality; population-based study; traumatic fractures.

PubMed Disclaimer

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
The frequency (A) and admission rate (B) for male and female inpatients with traumatic fractures among different age groups in China in 2020.
Figure 2
Figure 2
The choropleth maps of admission rate (A), in-hospital mortality (B), hospitalization cost (C), and length of stay (D) of inpatients with traumatic fractures for 31 provinces, municipalities and autonomous regions in China in 2020. The study was conducted in mainland China, and the data of Hong Kong, Macao and Taiwan were not displayed (grey color).
Figure 3
Figure 3
Mosaic plots of the distribution of causes of traumatic fracture in total (A), male (B) and female (C) inpatients of different age groups. (Some percentage cannot be displayed because it is relatively small).
See this image and copyright information in PMC

References

    1. National Bureau of Statistics . China Statistical yearbook-2021. Beijing: China Statistics Press; (2021).
    1. GBD 2019 Fracture Collaborators . Global, regional, and national burden of bone fractures in 204 countries and territories, 1990-2019: A systematic analysis from the global burden of disease study 2019. Lancet Healthy Longevity (2021) 2(9):e580–e92. doi: 10.1016/S2666-7568(21)00172-0 - DOI - PMC - PubMed
    1. Garraway WM, Stauffer RN, Kurland LT, O'Fallon WM. Limb fractures in a defined population. i. frequency and distribution. Mayo Clin Proc (1979) 54(11):701–7. - PubMed
    1. Amin S, Achenbach SJ, Atkinson EJ, Khosla S, Melton LJ, 3rd. Trends in fracture incidence: A population-based study over 20 years. J Bone mineral Res Off J Am Soc Bone Mineral Res (2014) 29(3):581–9. doi: 10.1002/jbmr.2072 - DOI - PMC - PubMed
    1. Farr JN, Melton LJ, 3rd, Achenbach SJ, Atkinson EJ, Khosla S, Amin S. Fracture incidence and characteristics in young adults aged 18 to 49 years: A population-based study. J Bone Miner Res (2017) 32(12):2347–54. doi: 10.1002/jbmr.3228 - DOI - PMC - PubMed

Publication types