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The Scientific World Journal
Volume 2014, Article ID 637872, 7 pages
Research Article

Epidemiology of Orthopedic Fractures and Other Injuries among Inpatients Admitted due to Traffic Accidents: A 10-Year Nationwide Survey in Taiwan

1Department of Emergency Medicine, Taoyuan General Hospital, Ministry of Health & Welfare, Taoyuan 33004, Taiwan
2Department of Orthopedic Surgery, Taoyuan General Hospital, Ministry of Health & Welfare, Taoyuan 33004, Taiwan
3Department of Computer Science and Engineering, National Chung Hsing University, Taichung 40227, Taiwan
4Department of Nursing, College of Medicine, National Taiwan University, Taipei 10617, Taiwan
5Institute of Public Health, National Yang-Ming University, Taipei 11221, Taiwan
6Department of Neurologic Surgery, Taipei City Hospital, Taipei 10341, Taiwan
7Department of Computer Science and Communication Engineering, Providence University, Taichung 43301, Taiwan

Received 31 August 2013; Accepted 26 November 2013; Published 5 February 2014

Academic Editors: H. Hertz, J. Kircher, and J. H. Lee

Copyright © 2014 Ren-Hao Pan 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.


To investigate the major injury patterns associated with traffic accidents and evaluate the risk factors of the main injury, a survey of Taiwan’s national insurance admission data between 2002 and 2011 was performed. The incidence of traffic-accidents-related hospitalization was between 9.17% and 11.54% and the average mortality rate of the inpatients admitted due to traffic accidents was 0.68%. Of all inpatients due to road traffic accidents in Taiwan, orthopedic fractures were the most common injuries that accounted for 29.36% of them. There were a total of 391,197 cases of three orthopedic fracture groups that were divided into (1) fracture of upper limb, (2) fracture of lower limb, and (3) fracture of spine and trunk. An increase in national medical cost used for inpatients with orthopedic fractures was noted and ranged from US$ 45.6 million to US$ 86 million annually. These orthopedic fracture patterns were frequently associated with other injuries especially head injuries (ranged from 14% to 26%). A significant relation to male gender, older age, low income, and admission to high-level hospital to the observed fracture patterns was observed.