Epidemiology and seasonal variation of distal radius fractures in Oulu, Finland

Flinkkilä, Tapio; Sirniö, Kai; Hippi, Marjo; Hartonen, Sari; Ruuhela, Reija; Ohtonen, Pasi; Hyvönen, Pekka; Leppilahti, Juhana

doi:10.1007/s00198-010-1463-3

Cited by 117 publications

(121 citation statements)

References 31 publications

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“…In Norway, the age and gender adjusted rate during the period 2009–2014 was 244 wrist fractures per 100,000 inhabitants [21]. This is in accordance with Swedish and Finish figures [22,23]. …”

Section: Discussionsupporting

confidence: 66%

Wrist malpractice claims in Northern Norway 2005–2014. Lessons to be learned

Norum

Balteskard

Thomsen³

et al. 2018

International Journal of Circumpolar Health

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Rough weather conditions in the subarctic areas of Norway may influence on the risk of wrist fracture. We implemented data from the Norwegian System of Patient Injury Compensation (NPE). All claims due to wrist surgery, performed at the public hospitals in Northern Norway, during 2005-2014 were analyzed. We employed the ICD-10 classification codes S52.5 (fracture of distal end of radius) and S52.6 (fracture of distal end of radius and ulna). Treatment was defined by NCSP codes. 84 patients (0.3%) complained. Females complained four times more often than males did (P = 0.005) and received five times more frequently a compensation (P < 0.001). NPE accepted 34 claims (40%) for injury compensation (0.1% of patients). The percentage of claims accepted for compensation decreased from 48% to 30% during study period, probably due to delay in filling claims. The main causes of complains were pain, reduced range of motion, malfunction and weakness (35/84). The main causes of compensation were “operative treatment should have been performed” (14/34) and “wrong operative method applied” (13/34). The mean amount per compensation was €14,927 (€0–€52,995). Stonger focus on quality of care, updated guidelines and shared decission-making may reduce the number og complains and compensations.

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Section: Discussionsupporting

confidence: 66%

Wrist malpractice claims in Northern Norway 2005–2014. Lessons to be learned

Norum

Balteskard

Thomsen³

et al. 2018

International Journal of Circumpolar Health

View full text Add to dashboard Cite

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“…About 50,000 injuries are recorded annually in Finland during the winter period due to slippery pavement conditions. Although these are most frequent among the 40-60 years' age group, the most serious injuries, such as hip and forearm fractures, primarily affect people older than 70 (Ruuhela et al 2005;Flinkkilä et al 2010). Heat wave events can result in significant excess morbidity and mortality among the elderly, mainly attributable to cardiovascular or respiratory failure (Rocklöv and Forsberg 2009;Å ström et al 2013).…”

Section: Extreme Weather Events and The Elderlymentioning

confidence: 99%

Characterising vulnerability of the elderly to climate change in the Nordic region

et al. 2014

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Elderly people are known to be more vulnerable than the general population to a range of weatherrelated hazards such as heat waves, icy conditions and cold periods. In the Nordic region, some of these hazards are projected to change their frequency and intensity in the future, while at the same time strong increases are projected in the proportion of elderly in the population. This paper reports results from three projects studying the potential impacts of climate change on elderly people in the Nordic region. An interactive web-based tool has been developed for mapping and combining indicators of climate change vulnerability of the elderly, by municipality, across three Nordic countries: Finland, Norway and Sweden. The tool can also be used for projecting temperaturerelated mortality in Finland under different projections of future climate. The approach to vulnerability mapping differs from most previous studies in which researchers selected the indicators to combine into an index. Here, while researchers compile data on indicators that can be accessed in the mapping tool, the onus is on the users of the tool to decide which indicators are of interest and whether to map them individually or as combined indices.Electronic supplementary material The online version of this article (doi:10.1007/s10113-014-0688-7) contains supplementary material, which is available to authorized users. 123Reg Environ Change (2016) 16:43-58 DOI 10.1007 Stakeholders with responsibility for the care and welfare of the elderly were engaged in the study through interviews and a workshop. They affirmed the usefulness of the prototype mapping tool for raising awareness about climate change as a potential risk factor for the elderly and offered suggestions on potential refinements, which have now been implemented. These included adding background information on possible adaptation measures for ameliorating the impacts of extreme temperatures, and improved representation of uncertainties in projections of future exposure and adaptive capacity.

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“…Forearm shaft fractures in children have been associated with warm and dry days compared with cool, hot or rainy days [30]. Furthermore, in adults, the association between slippery winter weather and radial fractures has been suggested [8]. To our knowledge, this study is the first to investigate meteorological weather risk factors of the most common childhood fractures around the elbow, supracondylar humerus fractures [32].…”

Section: Discussionmentioning

confidence: 97%