Low-Energy Pelvic Ring Fractures: A Care Conundrum

Abernathy, Bailey R.; Schroder, Lisa K.; Bohn, Deborah C.; Switzer, Julie A.

doi:10.1177/2151459320985406

Cited by 9 publications

(10 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Evidence shows that one-year mortality after PF ranges from 9.5% to 27% [ 39 , 40 , 41 ]. With our finding of 11.6%, Austria is positioned on the lower end of the scale.…”

Section: Discussionmentioning

confidence: 99%

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

Behanová

Haschka

Reichardt

et al. 2022

JCM

View full text Add to dashboard Cite

(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.

show abstract

“…Evidence shows that one-year mortality after PF ranges from 9.5% to 27% [ 39 , 40 , 41 ]. With our finding of 11.6%, Austria is positioned on the lower end of the scale.…”

Section: Discussionmentioning

confidence: 99%

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

Behanová

Haschka

Reichardt

et al. 2022

JCM

View full text Add to dashboard Cite

show abstract

“…These injuries have a high morbidity and mortality burden and are challenging not only for patients and their families but also for healthcare providers and the healthcare systems in which they operate. Given their diminished physiologic reserve in conjunction with muscle loss, the increasing incidence of low-energy pelvic ring fractures is particularly concerning in the older, frailer population [29]. Studies report a continuous rise from 1970 caused by demographic changes but also mention previous internal fixation of the proximal femur or hip arthroplasty and female sex as risk factors [30].…”

Section: Discussionmentioning

confidence: 99%

Epidemiology and economic burden of fragility fractures in Austria

Muschitz¹,

Hummer²,

Grillari

et al. 2021

Osteoporos Int

View full text Add to dashboard Cite

Fragility fractures are a frequent and costly event. In Austria, 92,835 fragility fractures occurred in patients aged ≥ 50 years in 2018, accruing direct costs of > 157 million €. Due to demographic aging, the number of fragility fractures and their associated costs are expected to increase even further. Introduction Fragility fractures are frequently associated with long hospital stays, loss of independence, and increased need for care in the elderly, with consequences often leading to premature death. The aim of this study was to estimate the number of fragility fractures and associated healthcare costs in Austria in 2018. Methods The number of in-patient cases with relevant ICD-10 diagnoses in all Austrian public hospitals was derived from discharge documentation of diagnoses and procedures covering all public hospitals in Austria. Fractures resulting from falls from standing height in patients aged ≥ 50 years were used as a proxy for fragility fractures, and the number of in-patient and out-patient cases was estimated. The direct costs of these cases were calculated using the average cost of the corresponding in-patient hospital stay and the average cost for the out-patient stay. ResultsThe present study estimated the number of fragility fractures (pelvis, thoracic and lumbar vertebra, hip, humerus, rib, forearm, and tibia) for 2018 at 92,835 or just over half of all fractures in patients aged ≥ 50 years, corresponding to a prevalence of 2,600 per 100,000 inhabitants of this age group. A constant increase in the proportion of fragility fractures among all fractures was observed with increasing age in both men and women. These fractures amounted to direct costs of > 157 million €. Conclusion Fragility fractures are a frequent and costly event in Austria. Due to the aging of the population, the number of fragility fractures and their associated costs is expected to increase even further.

show abstract

“…The fair and poor outcomes were proposed to be because of concomitant lower extremity injuries as 95% (35/37) of patients without associated lower extremity injuries rated their pelvic scores as excellent or good. 1,10…”

Section: Return To Functionmentioning

confidence: 99%

Pelvic Ring Injuries: Stable or Not?

Elsissy,

Ruckle,

LeBrun

et al. 2023

J Am Acad Orthop Surg

View full text Add to dashboard Cite

Pelvic ring injuries occur in varying severity and in vastly different patient demographics. Knowledge regarding which of these injuries require surgical intervention and which can be managed nonsurgically continues to evolve. Previous studies have shown validated criteria for sacral fractures and the posterior ring, explored the role of examination under anesthesia, and other forms of dynamic imaging. Although there is substantial information available, a comprehensive synthesis of this information is lacking. This article provides a comprehensive review of radiographic markers suggestive of stability, discusses treatment strategies, and proposes a treatment algorithm that is easily understood and applicable to not only those with a trauma background but also the general orthopaedic surgeon who will see these injuries frequently while on call.

show abstract

Low-Energy Pelvic Ring Fractures: A Care Conundrum

Cited by 9 publications

References 49 publications

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

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

Epidemiology and economic burden of fragility fractures in Austria

Pelvic Ring Injuries: Stable or Not?

Contact Info

Product

Resources

About