Eliot Salmon MD, Matthew Oliver MBBS, Kendall Bein MBBS, Melanie Berry MBBS, Christopher Partyka MBBS, Radhika Seimon PhD, Hardeep Singh BSc, Michael Dinh PhD
{"title":"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。","authors":"Eliot Salmon MD, Matthew Oliver MBBS, Kendall Bein MBBS, Melanie Berry MBBS, Christopher Partyka MBBS, Radhika Seimon PhD, Hardeep Singh BSc, Michael Dinh PhD","doi":"10.1111/1742-6723.14469","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>Determine long-term trends in population-based incidence and outcomes of rib fracture hospitalisations.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>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% <i>per annum</i>. 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.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Rib fracture hospitalisations have increased with older patients driving this trend.</p>\n </section>\n </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":null,"pages":null},"PeriodicalIF":1.7000,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Long-term trends in incidence and outcomes of rib fractures: A population-based data linkage study from New South Wales, Australia\",\"authors\":\"Eliot Salmon MD, Matthew Oliver MBBS, Kendall Bein MBBS, Melanie Berry MBBS, Christopher Partyka MBBS, Radhika Seimon PhD, Hardeep Singh BSc, Michael Dinh PhD\",\"doi\":\"10.1111/1742-6723.14469\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>Determine long-term trends in population-based incidence and outcomes of rib fracture hospitalisations.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>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% <i>per annum</i>. 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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>Rib fracture hospitalisations have increased with older patients driving this trend.</p>\\n </section>\\n </div>\",\"PeriodicalId\":11604,\"journal\":{\"name\":\"Emergency Medicine Australasia\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2024-07-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Emergency Medicine Australasia\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/1742-6723.14469\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"EMERGENCY MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Emergency Medicine Australasia","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/1742-6723.14469","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}
Long-term trends in incidence and outcomes of rib fractures: A population-based data linkage study from New South Wales, Australia
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.
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.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
