Long-term trends in incidence and outcomes of rib fractures: A population-based data linkage study from New South Wales, Australia.

Autor: Salmon E; Sydney Local Health District, Sydney, New South Wales, Australia., Oliver M; Sydney Local Health District, Sydney, New South Wales, Australia., Bein K; Sydney Local Health District, Sydney, New South Wales, Australia., Berry M; Sydney Local Health District, Sydney, New South Wales, Australia.; Western NSW Local Health District, Dubbo, New South Wales, Australia., Partyka C; Northern Sydney Local Health District, Sydney, New South Wales, Australia.; The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia., Seimon R; Sydney Local Health District, Sydney, New South Wales, Australia., Singh H; NSW Agency for Clinical Innovation, Sydney, New South Wales, Australia., Dinh M; Sydney Local Health District, Sydney, New South Wales, Australia.; The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.
Jazyk: angličtina
Zdroj: Emergency medicine Australasia : EMA [Emerg Med Australas] 2024 Dec; Vol. 36 (6), pp. 884-890. Date of Electronic Publication: 2024 Jul 24.
DOI: 10.1111/1742-6723.14469
Abstrakt: 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.
(© 2024 Australasian College for Emergency Medicine.)
Databáze: MEDLINE
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