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BioMed Research International
Volume 2014 (2014), Article ID 878601, 9 pages
http://dx.doi.org/10.1155/2014/878601
Research Article

Epidemiology of Hospitalized Traumatic Pelvic Fractures and Their Combined Injuries in Taiwan: 2000–2011 National Health Insurance Data Surveillance

1Department of Orthopedic Surgery, Taoyuan General Hospital, Ministry of Health & Welfare, Taoyuan 33004, Taiwan
2Institute of Public Health, National Yang-Ming University, Taipei 11221, Taiwan
3Department of Information Management, Yuan Ze University, Taoyuan 32003, Taiwan
4Department of Neurologic Surgery, Taipei City Hospital, Taipei 10341, Taiwan
5Department of Computer Science and Technology, Xiamen University of Technology, Xiamen 361024, China
6Department of Orthopedic Surgery, National Taiwan University Hospital, Taipei 10048, Taiwan
7Department of Nursing, College of Medicine, National Taiwan University, Taipei 10617, Taiwan
8Department of Nursing, School of Nursing, Chang Gang University, Taoyuan 33302, Taiwan

Received 21 December 2013; Revised 26 February 2014; Accepted 2 March 2014; Published 1 April 2014

Academic Editor: Patrick Schober

Copyright © 2014 Nan-Ping Yang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. From the viewpoint of prehospital emergency medicine, a greater proportion of pelvic fractures not of a life-threatening status but combined with other injuries need more comprehensive recognition. Methods. A 12-year nationwide health database of inpatients was reviewed. All cases diagnosed as pelvic fractures were enrolled. The associated injuries classified into 20 categories were further analyzed. Results. During 2000–2011, the hospitalized incidence of pelvic fractures in Taiwan ranged from 17.17 to 19.42 per 100,000, and an increasing trend with age was observed. The mean case-fatality rate was 1.6% for females and 2.1% for males; male patients with pelvic fractures had a significantly higher risk of death than female patients after adjusting for other covariates. 74.2% of these cases were combined with other injuries. The most common associated injuries in an identified body region were other orthopedic fractures of the lower limbs (21.50%), spine/trunk (20.97%), or upper limbs (18.18%), followed by significant head injuries (17.59%), intra-abdominal injuries (11.00%), and thoracic injuries (7.20%). Conclusion. The incidence of hospitalized pelvic fractures in Taiwan was low and the case-fatality rate was lower than those of other countries. Concurrently, coexistence of major combined injuries with pelvic fractures was easily treated at medical centers.