Epidemiological survey of orthopedic joint dislocations based on nationwide insurance data in Taiwan, 2000-2005
| Autor: | Yi-Hui Lee, I-Liang Yu, Hou-Chaung Chen, Dinh-Van Phan, Jenn-Huei Renn, Chien-Lung Chan, Pesus Chou, Nan-Ping Yang |
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| Rok vydání: | 2011 |
| Předmět: |
musculoskeletal diseases
Adult Male medicine.medical_specialty lcsh:Diseases of the musculoskeletal system National Health Programs Population MEDLINE Joint Dislocations Taiwan Poison control Occupational safety and health Young Adult Rheumatology Epidemiology medicine Humans Orthopedics and Sports Medicine Joint dislocation education Diagnosis-Related Groups Retrospective Studies education.field_of_study business.industry Nationwide database Accidents Traffic Health Care Costs Middle Aged medicine.disease Health Surveys Orthopedics Family medicine Orthopedic surgery Acute Disease incidence orthopedic dislocation Wounds and Injuries Accidental Falls Female Medical emergency lcsh:RC925-935 business Research Article |
| Zdroj: | BMC Musculoskeletal Disorders BMC Musculoskeletal Disorders, Vol 12, Iss 1, p 253 (2011) |
| ISSN: | 1471-2474 |
| Popis: | Background The epidemiology of acute orthopedic dislocations is poorly understood. A nationwide database provides a valuable resource for examining this issue in the Taiwanese population. Methods A 6-year retrospective cohort study of 1,000,000 randomly-sampled beneficiaries from the year 2005 was used as the original population. Based on the hospitalized and ambulatory data, the concomitant ICD9-CM diagnosis codes and treatment codes were evaluated and classified into 8 and 3 major categories, respectively. The cases matching both inclusive criteria of dislocation-related diagnosis codes and treatment codes were defined as incident cases. Results During 2000-2005, the estimated annual incidence (per 100,000 population) of total orthopedic dislocations in Taiwan was 42.1 (95%CI: 38.1-46.1). The major cause of these orthopedic dislocations was traffic accidents (57.4%), followed by accident falls (27.5%). The annual incidence dislocation by location was shoulder, 15.3; elbow, 7.7; wrist, 3.5; finger, 4.6; hip, 5.2; knee, 1.4; ankle, 2.0; and foot, 2.4. Approximately 16% of shoulder dislocations occurred with other concomitant fractures, compared with 17%, 53%, 16%, 76% and 52%, respectively, of dislocated elbow, wrist, hip, knee, and ankle cases. Including both simple and complex dislocated cases, the mean medical cost was US$612 for treatment of a shoulder dislocation, $504 for the elbow, $1,232 for the wrist, $1,103 for the hip, $1,888 for the knee, and $1,248 for the ankle. Conclusions In Taiwan, three-quarters of all orthopedic dislocations were of the upper limbs. The most common complex fracture-dislocation was of the knee, followed by the wrist and the ankle. Those usually needed a treatment combined with open reduction of fractures and resulted in a higher direct medical expenditure. |
| Databáze: | OpenAIRE |
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