Epidemiology Of Fractures In Adults Research Articles

The epidemiology of adult fractures according to the AO/OTA fracture classification.

The epidemiology of adult fractures has been changing timely, in a multifactorial fashion. The aim of this study was to put forward a recent 5-year epidemiological analysis of adult fractures, according to the current AO/OTA fracture classification, in the current decade of action for road safety. 5324 adult patients who were diagnosed with at least one fracture related with orthopedics and traumatology in a level-one trauma center were included in this retrospective, epidemiological descriptive study. The patients were grouped according to their ages as; 18-35, 36-55, 56-69, and ≥70. The fractures were examined according to the AO/OTA classification. 5865 fractures were present in 5324 patients. The mean age of the patients was 48.6±21.5. The number of patients according to the age groups was as follows; 1947 (36.6%), 1636 (30.7%), 881 (16.5%), and 860 (16.2%), respectively. The most frequent three fractures according to the AO/OTA fracture classification were; 7 (hand 19.6%), 23 (distal forearm, 12.1%), and 8 (foot, 11.8%). About 54.4% and 45.4% of the patients were treated non-surgically and surgically, respectively. About 0.2% of the patients preferred an alternative treatment. Overall mortality rate was 0.4%. To the best of our knowledge, this study represents the first analysis of adult fractures according to the AO/OTA classification, over a 5-year period. As a future prospect, further multi-centric epidemiological studies are warranted to constitute a sustainable action plan for the prevention of major traumas.

Epidemiology of Adult Fractures in Eastern Croatia by Cause of Injury, Fracture Location and Type of Treatment.

This retrospective study investigated the impact of age on fracture occurrence through the comparison of two patient groups, 17-64 and 64+ age groups. Study data covered all fractures treated at a large hospital in eastern Croatia. A total of 15,519 patients with fractures were treated at the trauma department (inpatient and outpatient), with a total of 17,257 fractures presented, 71% managed as outpatients and 29% as inpatients. A total of 11,046 outpatients were treated for 12,187 fractures and a total of 4473 inpatients were treated for 5070 fractures. The group of 17-64-year old males had 5787 fractures, accounting for 34% of all fractures presented. The group of 17-64-year old females had 4094 fractures, accounting for 24% of total fractures. The group of 65+ year-old males had 2659 fractures, accounting for 15% of all fractures presented and the group of 65+ year-old females presented with 4717 fractures, accounting for 27% of all fractures presented. The 'fall in level' was the predominant cause of injury in all patients. The characteristics of osteoporotic bone fractures were evident in the population of 65+ females and to a lesser degree in 65+ males. The 17-64 age group, both males and females, had more fractures considered as high-energy fractures.

Epidemiology of Fracture in Adults from Ontario, Canada, with Chronic Kidney Disease: An Examination of Fracture Burden Using Administrative Health Data

Fractures are associated with morbidity and mortality. Individuals with chronic kidney disease (CKD) experience bone mineral metabolism changes, which increases fracture risk. Researchers have quantified the epidemiology of fractures in adults with CKD using administrative health databases from Ontario, Canada, held at the Institute for Clinical Evaluative Sciences. Results demonstrated that many individuals with non-transplant CKD sustain fractures, with the risk increasing as kidney function declines. However, fracture risk in kidney transplant recipients was lower than previously described, which suggests recipients may not be a high-risk fracture group. There is a need to test fracture prevention interventions in the CKD population.

Epidemiological analysis of adult fractures in 5 years. Reports from a Chinese Orthopaedic Hospital over 60,000 fractures cases

Background: The epidemiology of adult fractures is changing quickly. Most of the investigations focus on the osteoporosis and single part of the body, little is known about the epidemiological results of the whole body bone fractures. Methods: An analysis of 59,005 patients and 60,402 fracture sites reviewed in a single orthopaedic trauma centre from 2003 to 2007. We choose to review all the 5 years fractures in our hospital, both outpatient clinicals and inpatient surgery patients. An research team was formed by eight experienced orthopaedic surgeons, they were asked to review all the fracture patients’ image database and do an classification according to the AO/OTA fracture classification systems. An orthopaedic professor and a radiology professor were asked to do a superintendent. Results: The results showed that there are eight different fracture distribution curves into which all fractures can be placed. Only two fracture curves involve predominantly young patients; the other six show an increased incidence of fractures in older patients. It is popularly assumed that osteoporotic fractures are mainly seen in the thoracolumbar spine, proximal femur, proximal humerus and distal radius, but analysis of the data indicates that 11 different fractures should now be considered to be potentially osteoporotic. About 30% of fractures in women, 66% of fractures in man and 70% of inpatient fractures are potentially osteoporotic. Conclusions: It is meaningful to analysis the epidemiology of the adult fractures. Improved social conditions and medical treatment have led to an increasingly aged population with an increasing number of fractures in both men and women. It seems likely that this trend will continue, that there will be further changes in fracture epidemiology and that some of the other fractures will soon have to be regarded as osteoporotic. Keywords: Fracture; Adult; Polytrauma; Epidemiology