Long-term trends in incidence and outcomes of rib fractures: A population-based data linkage study from New South Wales, Australia

IF 1.7 4区医学 Q2 EMERGENCY MEDICINE

Emergency Medicine Australasia Pub Date : 2024-07-24 DOI:10.1111/1742-6723.14469

Eliot Salmon MD, Matthew Oliver MBBS, Kendall Bein MBBS, Melanie Berry MBBS, Christopher Partyka MBBS, Radhika Seimon PhD, Hardeep Singh BSc, Michael Dinh PhD

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引用次数: 0

Abstract

Objective

Determine long-term trends in population-based incidence and outcomes of rib fracture hospitalisations.

Methods

This was a data linkage study of rib fracture cases identified between 2015 and 2022 in New South Wales, Australia. Routinely collected health data were linked between ED, admitted patient and death registry data collection. The primary outcomes were age-specific incidence of rib fracture hospitalisation cases and risk-adjusted 30 days mortality. Other outcomes of interest were hospital length of stay (LOS), admission rate and ICU admissions.

Results

A total of 70 609 cases were analysed. Overall, the number of rib fracture hospitalisations increased by 25% between 2015 and 2022. The highest proportion of cases was in the 45–65 years (28%) and 65–85 years (31%) age groups. On a per population basis, the incidence rate increased by 2% per annum. After adjusting for age, comorbidity and injury severity, there was no significant trend in 30 days mortality observed between 2015 and 2022. The median inpatient LOS was 4 days with 38% of patients staying 1–2 days. Regional and rural areas were associated with more severe chest injuries.

Conclusion

Rib fracture hospitalisations have increased with older patients driving this trend.

查看原文本刊更多论文

肋骨骨折发病率和结果的长期趋势：澳大利亚新南威尔士州基于人口的数据链接研究。

目的确定以人群为基础的肋骨骨折住院发病率和结果的长期趋势：这是一项针对澳大利亚新南威尔士州 2015 年至 2022 年间发现的肋骨骨折病例的数据链接研究。常规收集的健康数据在急诊室、住院患者和死亡登记数据收集之间建立了链接。主要结果是肋骨骨折住院病例的年龄特异性发生率和风险调整后的 30 天死亡率。其他相关结果包括住院时间（LOS）、入院率和重症监护室入院率：结果：共分析了 70 609 个病例。总体而言，2015年至2022年期间，肋骨骨折住院人数增加了25%。45-65岁（28%）和65-85岁（31%）年龄组的病例比例最高。按人口计算，发病率每年增加 2%。在对年龄、合并症和受伤严重程度进行调整后，2015 年至 2022 年间的 30 天死亡率没有明显趋势。住院时间中位数为 4 天，38% 的患者住院时间为 1-2 天。地区和农村地区与更严重的胸部损伤有关：结论：肋骨骨折的住院率有所上升，老年患者是这一趋势的驱动力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Emergency Medicine Australasia 医学-急救医学

CiteScore

3.70

自引率

13.00%

发文量

217

审稿时长

6-12 weeks

期刊介绍： Emergency Medicine Australasia is the official journal of the Australasian College for Emergency Medicine (ACEM) and the Australasian Society for Emergency Medicine (ASEM), and publishes original articles dealing with all aspects of clinical practice, research, education and experiences in emergency medicine. Original articles are published under the following sections: Original Research, Paediatric Emergency Medicine, Disaster Medicine, Education and Training, Ethics, International Emergency Medicine, Management and Quality, Medicolegal Matters, Prehospital Care, Public Health, Rural and Remote Care, Technology, Toxicology and Trauma. Accepted papers become the copyright of the journal.