Operative care rates of lateral compression type 1 pelvic fractures increased from 2003 to 2018.

IF 1.7 Q3 ORTHOPEDICS

European Journal of Orthopaedic Surgery and Traumatology Pub Date : 2026-08-01 DOI:10.1007/s00590-026-04900-0

Daniel Rusu, Andrew Duong, Sagar Telang, Nathanael Heckmann, Joseph Patterson

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引用次数: 0

Abstract

Purpose: To investigate trends in operative management of LC1 pelvic fractures and potential effects on hospital length of stay, home discharge, and mortality.

Methods: The National Inpatient Sample (NIS) was queried and identified 43,743 older adults aged ≥ 60 years and 29,024 younger adults aged 18-59 years who had LC1 fractures via ICD diagnosis codes (2003-2018). Operative management was classified by ICD procedure codes for internal and/or external fixation. Adjusted annual change in rate of operative care, length of stay, mortality, and home discharge were assessed using multivariable robust Poisson regression models.

Results: Operative care was provided to 1413 (3.2%) older adults and 5871 (20.2%) younger adults. Among older adults, operative care increased 5% per year (RR per year: 1.05, 95% CI 1.03-1.06, p < 0.001), with relative per year decreases in length of stay (RR per year: 0.98, 95% CI 0.98-0.98, p < 0.001), home discharge (RR per year: 0.99, 95% CI 0.99-1.00, p = 0.02) and mortality (RR per year: 0.95, 95% CI 0.95-0.96, p < 0.001). Among younger adults, operative care increased 2% per year (RR per year: 1.02, 95% CI 1.01-1.02, p < 0.001), with relative per year decreases in length of stay (RR per year: 0.98, 95% CI 0.98-0.98, p < 0.001), and mortality (RR per year: 0.95, 95% CI 0.94-0.96, p < 0.001).

Conclusion: Operative care of LC1 fractures in the United States increased from 2003 to 2018. A rise in operative care was associated with decreases in length of stay and mortality in older and younger adults, but fewer home discharges for older adults.

Level of evidence: Level III Therapeutic.

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侧位压迫型1型骨盆骨折的手术护理率从2003年到2018年有所增加。

目的：探讨LC1型骨盆骨折的手术治疗趋势及其对住院时间、出院和死亡率的潜在影响。方法：查询全国住院患者样本（NIS），并通过ICD诊断代码（2003-2018）确定43,743名年龄≥60岁的老年人和29,024名年龄在18-59岁的年轻人患有LC1骨折。手术管理按ICD程序代码对内固定和/或外固定进行分类。采用多变量稳健泊松回归模型评估手术护理率、住院时间、死亡率和出院率的调整年变化。结果：老年人1413例（3.2%），青年会5871例（20.2%）。在老年人中，手术护理每年增加5% （RR每年：1.05,95% CI 1.03-1.06, p）。结论：从2003年到2018年，美国LC1骨折的手术护理增加。手术护理的增加与老年人和年轻人住院时间和死亡率的减少有关，但老年人在家出院的减少。证据等级：III级治疗性。

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

European Journal of Orthopaedic Surgery and Traumatology 医学-整形外科

CiteScore

3.00

自引率

5.90%

发文量

265

审稿时长

3-8 weeks

期刊介绍： The European Journal of Orthopaedic Surgery and Traumatology (EJOST) aims to publish high quality Orthopedic scientific work. The objective of our journal is to disseminate meaningful, impactful, clinically relevant work from each and every region of the world, that has the potential to change and or inform clinical practice.