کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3239436 1206006 2013 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Epidemiology and health-care utilisation of wrist fractures in older adults in The Netherlands, 1997–2009
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
پیش نمایش صفحه اول مقاله
Epidemiology and health-care utilisation of wrist fractures in older adults in The Netherlands, 1997–2009
چکیده انگلیسی

IntroductionWrist fractures are common in older adults and are expected to increase because of ageing populations worldwide. The introduction of plate and screw fixation has changed the management of this trauma in many patients. For policymaking it is essential to gain insight into trends in epidemiology and healthcare utilisation. The purpose of this study was to determine trends in incidence, hospitalisation and operative treatment of wrist fractures.MethodsA population-based study of patients aged 50 years and older using the Dutch National Injury Surveillance System and the National Hospital Discharge Registry. Data on emergency department visits, hospitalisations and operative treatment for wrist fractures within the period 1997–2009 were analysed.ResultsIn women, the age-standardised incidence rate of wrist fractures decreased from 497.2 per 100,000 persons (95% confidence interval, 472.3–522.1) in 1997 to 445.1 (422.8–467.4) in 2009 (P for trend <0.001). In men, no significant trends were observed in the same time period. Hospitalisation rates increased from 30.1 (28.3–31.9) in 1997 to 78.9 (75.1–82.8) in 2009 in women (P < 0.001), and from 6.4 (6.0–6.8) to 18.4 (17.3–19.5) in men (P < 0.001). There was a strong increase in operative treatment of distal radius fractures, especially due to plate fixation techniques in all age groups.ConclusionIncidence rates of wrist fractures decreased in women and remained stable in men, but hospitalisation rates strongly increased due to a steep rise in operative treatments. The use of plate and screw fixation techniques for distal radius fractures increased in all age groups.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Injury - Volume 44, Issue 4, April 2013, Pages 421–426
نویسندگان
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