Epidemiology and the economic burden of traumatic fractures in China: A population-based study

ObjectivesNational data on the admission rate, distribution, in-hospital mortality, and economic burden of traumatic fractures in China is unclear. We aimed to conduct a cross-sectional population-based study to determine such above data at the national level in China.MethodsA national administrativ...

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Main Authors: Bo-xuan Huang, Yan-hua Wang, Hai-bo Wang, Chu Wang, Fei-fei Jin, Jing Li, Lan-xia Gan, Ying Shi, Bao-guo Jiang, Dian-ying Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-01-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2023.1104202/full
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author Bo-xuan Huang
Bo-xuan Huang
Bo-xuan Huang
Yan-hua Wang
Yan-hua Wang
Yan-hua Wang
Hai-bo Wang
Chu Wang
Chu Wang
Chu Wang
Fei-fei Jin
Jing Li
Lan-xia Gan
Ying Shi
Bao-guo Jiang
Bao-guo Jiang
Bao-guo Jiang
Bao-guo Jiang
Dian-ying Zhang
Dian-ying Zhang
Dian-ying Zhang
author_facet Bo-xuan Huang
Bo-xuan Huang
Bo-xuan Huang
Yan-hua Wang
Yan-hua Wang
Yan-hua Wang
Hai-bo Wang
Chu Wang
Chu Wang
Chu Wang
Fei-fei Jin
Jing Li
Lan-xia Gan
Ying Shi
Bao-guo Jiang
Bao-guo Jiang
Bao-guo Jiang
Bao-guo Jiang
Dian-ying Zhang
Dian-ying Zhang
Dian-ying Zhang
author_sort Bo-xuan Huang
collection DOAJ
description ObjectivesNational data on the admission rate, distribution, in-hospital mortality, and economic burden of traumatic fractures in China is unclear. We aimed to conduct a cross-sectional population-based study to determine such above data at the national level in China.MethodsA national administrative database was used to review all traumatic fracture hospitalizations in China during 2020, from which a total of 2,025,169 inpatients with traumatic fractures was retrieved. Admission rates and in-hospital mortality rates stratified by age, sex, and region were calculated. The causes of traumatic fracture and economic burden were described.ResultsThe admission rate of traumatic fractures of all China population in 2020 was 1.437‰. The admission rate increased with age and varied with genders and causes of injuries. Falls are the leading cause of traumatic fracture hospitalization, followed by road traffic injuries. The most common diagnoses were femoral neck fractures, with a number of 138,377. The in-hospital mortality was 1.209‰. Road traffic injuries led to the highest in-hospital mortality. The median length of stay was 10 days, with the median hospitalization cost of ¥20,900 (about $3,056).ConclusionTraumatic fractures are concerning conditions with a high admission rate and in-hospital mortality in China, which are mainly caused by falls and road traffic injuries. The government should implement more public health policies to enhance the health of the elderly and improve transportation safety to prevent traumatic fractures.
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spelling doaj.art-462e3fea5af642aa93912f5dbbbf0b822023-01-24T05:22:55ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922023-01-011410.3389/fendo.2023.11042021104202Epidemiology and the economic burden of traumatic fractures in China: A population-based studyBo-xuan Huang0Bo-xuan Huang1Bo-xuan Huang2Yan-hua Wang3Yan-hua Wang4Yan-hua Wang5Hai-bo Wang6Chu Wang7Chu Wang8Chu Wang9Fei-fei Jin10Jing Li11Lan-xia Gan12Ying Shi13Bao-guo Jiang14Bao-guo Jiang15Bao-guo Jiang16Bao-guo Jiang17Dian-ying Zhang18Dian-ying Zhang19Dian-ying Zhang20Department of Orthopedics and Trauma, Peking University People’s Hospital, Beijing, ChinaKey Laboratory of Trauma and Neural Regeneration (Peking University), Ministry of Education, Beijing, ChinaNational Center for Trauma Medicine, Beijing, ChinaDepartment of Orthopedics and Trauma, Peking University People’s Hospital, Beijing, ChinaKey Laboratory of Trauma and Neural Regeneration (Peking University), Ministry of Education, Beijing, ChinaNational Center for Trauma Medicine, Beijing, ChinaClinical Trial Unit, First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, ChinaKey Laboratory of Trauma and Neural Regeneration (Peking University), Ministry of Education, Beijing, ChinaNational Center for Trauma Medicine, Beijing, ChinaTrauma Medicine Center, Peking University People’s Hospital, Beijing, ChinaNational Center for Trauma Medicine, Beijing, ChinaNational Center for Trauma Medicine, Beijing, ChinaChina Standard Medical Information Research Center, Shenzhen, ChinaChina Standard Medical Information Research Center, Shenzhen, ChinaDepartment of Orthopedics and Trauma, Peking University People’s Hospital, Beijing, ChinaKey Laboratory of Trauma and Neural Regeneration (Peking University), Ministry of Education, Beijing, ChinaNational Center for Trauma Medicine, Beijing, ChinaTrauma Medicine Center, Peking University People’s Hospital, Beijing, ChinaDepartment of Orthopedics and Trauma, Peking University People’s Hospital, Beijing, ChinaKey Laboratory of Trauma and Neural Regeneration (Peking University), Ministry of Education, Beijing, ChinaNational Center for Trauma Medicine, Beijing, ChinaObjectivesNational data on the admission rate, distribution, in-hospital mortality, and economic burden of traumatic fractures in China is unclear. We aimed to conduct a cross-sectional population-based study to determine such above data at the national level in China.MethodsA national administrative database was used to review all traumatic fracture hospitalizations in China during 2020, from which a total of 2,025,169 inpatients with traumatic fractures was retrieved. Admission rates and in-hospital mortality rates stratified by age, sex, and region were calculated. The causes of traumatic fracture and economic burden were described.ResultsThe admission rate of traumatic fractures of all China population in 2020 was 1.437‰. The admission rate increased with age and varied with genders and causes of injuries. Falls are the leading cause of traumatic fracture hospitalization, followed by road traffic injuries. The most common diagnoses were femoral neck fractures, with a number of 138,377. The in-hospital mortality was 1.209‰. Road traffic injuries led to the highest in-hospital mortality. The median length of stay was 10 days, with the median hospitalization cost of ¥20,900 (about $3,056).ConclusionTraumatic fractures are concerning conditions with a high admission rate and in-hospital mortality in China, which are mainly caused by falls and road traffic injuries. The government should implement more public health policies to enhance the health of the elderly and improve transportation safety to prevent traumatic fractures.https://www.frontiersin.org/articles/10.3389/fendo.2023.1104202/fulltraumatic fracturespopulation-based studyepidemiologyadmission ratein-hospital mortalityeconomic burden
spellingShingle Bo-xuan Huang
Bo-xuan Huang
Bo-xuan Huang
Yan-hua Wang
Yan-hua Wang
Yan-hua Wang
Hai-bo Wang
Chu Wang
Chu Wang
Chu Wang
Fei-fei Jin
Jing Li
Lan-xia Gan
Ying Shi
Bao-guo Jiang
Bao-guo Jiang
Bao-guo Jiang
Bao-guo Jiang
Dian-ying Zhang
Dian-ying Zhang
Dian-ying Zhang
Epidemiology and the economic burden of traumatic fractures in China: A population-based study
Frontiers in Endocrinology
traumatic fractures
population-based study
epidemiology
admission rate
in-hospital mortality
economic burden
title Epidemiology and the economic burden of traumatic fractures in China: A population-based study
title_full Epidemiology and the economic burden of traumatic fractures in China: A population-based study
title_fullStr Epidemiology and the economic burden of traumatic fractures in China: A population-based study
title_full_unstemmed Epidemiology and the economic burden of traumatic fractures in China: A population-based study
title_short Epidemiology and the economic burden of traumatic fractures in China: A population-based study
title_sort epidemiology and the economic burden of traumatic fractures in china a population based study
topic traumatic fractures
population-based study
epidemiology
admission rate
in-hospital mortality
economic burden
url https://www.frontiersin.org/articles/10.3389/fendo.2023.1104202/full
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