Burden of fractures in France: incidence and severity by age, gender, and site in 2016
| العنوان: | Burden of fractures in France: incidence and severity by age, gender, and site in 2016 |
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| المؤلفون: | Alain Weill, Joël Coste, Fanny Leroy, Benjamin Bouyer, Jérémie Rudant |
| المصدر: | International Orthopaedics |
| بيانات النشر: | Springer Science and Business Media LLC, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Epidemiology, 030209 endocrinology & metabolism, Severity, Fractures, Bone, 03 medical and health sciences, 0302 clinical medicine, Ambulatory care, medicine, Humans, Orthopedics and Sports Medicine, Hospital Mortality, 030212 general & internal medicine, Aged, Femoral neck, Aged, 80 and over, Original Paper, business.industry, Incidence, Incidence (epidemiology), General population, Middle Aged, Surgery, Skull, Cross-Sectional Studies, medicine.anatomical_structure, Orthopedic surgery, Upper limb, Female, France, Age of onset, business, Fractures, Femoral Fractures |
| الوصف: | Purpose Fractures are common events, but the exact incidence and severity of fractures have not been clearly determined for most anatomical sites. We estimated the incidence and severity of fractures in France regardless of the anatomical site. Methods Observational cross-sectional study in France in 2016 based on the national health data system. All incident fractures in patients 20 years and older were included. We determined the anatomical fracture site (12 sites) and the severity using a 4-point scale (outpatient care, hospitalization, surgery, and in-hospital death). Results We identified 562,094 incident fractures, predominantly occurring in women (319,858: 56.9%); with a mean age of 63.6 years, and an exponential increase after the age of 70 years. Distal upper limb (172,591: 30.7%), distal lower limb (84,602: 15.1%), and femoral neck (78,766: 14.0%) accounted for more than one-half of all fractures. Sex and age of onset distributions varied widely according to fracture sites, with earlier onset for distal lower limb fractures (mean age: 54.2 years) and distal upper limb fractures (mean age: 55.2 years) with a men predominance for skull fractures. Only 105,165 (18.7%) fractures were treated on an outpatient basis; 11,913 (2.1%) in-hospital deaths occurred in patients with a mean age of 79.5 years. High mortality was observed for skull (12.9%), rib (4.9%), and femoral fractures (femoral neck 4.3% and proximal lower limb 4.2%). Conclusion We estimated the incidence of fractures in France by sex and anatomical site. We also showed that fractures remain common and serious life events, especially in older people. |
| تدمد: | 1432-5195 0341-2695 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8464e6de726e1065fbb4e68ea5f18832Test https://doi.org/10.1007/s00264-020-04492-2Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....8464e6de726e1065fbb4e68ea5f18832 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14325195 03412695 |
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