title: Increasing rates of pelvic fractures among older adults: The Netherlands, 1986-2011.
abstract: BACKGROUND
  age-related issues are expected to rise in the coming decades. Osteoporosis, falls and fractures are major public health issues among elderly. Pelvic fractures are associated with a serious morbidity and hospitalisation rate. We therefore performed a study to determine trends in incidence and age-specific rates of pelvic fracture-related hospitalisations among elderly (≥65 years).
  
  
  METHODS
  a secular trend analysis of all hospitalisations due to a pelvic fracture among older adults, using the National Medical Registration, 1986-2011, The Netherlands.
  
  
  RESULTS
  the total number of hospitalisations due to a pelvic fracture increased from 887 in 1986 to 2,013 admissions in 2011 (127% increase). The overall age-adjusted incidence rate increased from 5.19 in 1986 to 7.14 per 10,000 population in 2011 (37.5% increase). The incidence rate increased with age and was higher for females. The Percentual Annual Change was 1.2% (95% CI: 0.9;1.5) for older males, and 1.0% (95% CI: 0.9;1.2) for females, respectively. The mean length of hospital stay decreased between 1991 and 2011 to 12.0 days (53.4% decrease). The total number of hospital-bed-days decreased from 29,002 days in 1991 to 17,283 days in 2011 (40.4% decrease), despite an increase in absolute number of admissions.
  
  
  CONCLUSIONS
  absolute numbers and incidence rates of pelvic fractures are increasing among the older Dutch population. Considering the fact the general population is growing older, an increasing number of elderly suffer from pelvic fractures. Attention on osteoporosis screening and prevention of falls in elderly remains important, in order to limit-related healthcare costs in the future.
authors.affiliation: Surgery, Reinier de Graaf Groep, Reinier de Graafweg 3-11, Delft 2625AD, Netherlands.
authors.forename: Geraldine L
authors.initials: GL
authors.lastname: Nanninga
authors.affiliation: Surgery, Reinier de Graaf Groep, Reinier de Graafweg 3-11, Delft 2625AD, Netherlands.
authors.forename: Kevin
authors.initials: K
authors.lastname: de Leur
authors.affiliation: Veiligheid, Consumer and Safety Institute, Amsterdam, Netherlands.
authors.forename: Martien J M
authors.initials: MJ
authors.lastname: Panneman
authors.affiliation: Surgery, Reinier de Graaf Groep, Reinier de Graafweg 3-11, Delft 2625AD, Netherlands.
authors.forename: Maarten
authors.initials: M
authors.lastname: van der Elst
authors.affiliation: Surgery, Reinier de Graaf Groep, Reinier de Graafweg 3-11, Delft 2625AD, Netherlands.
authors.forename: Klaas A
authors.initials: KA
authors.lastname: Hartholt
mesh_terms: D000058:Accidental Falls; D017677:Age Distribution; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006620:Hip Fractures / Q000175:diagnosis / Q000453:epidemiology*; D006801:Humans; D015994:Incidence; D007902:Length of Stay / Q000639:trends; D008297:Male; D009426:Netherlands / Q000453:epidemiology; D010024:Osteoporosis / Q000453:epidemiology; D058866:Osteoporotic Fractures / Q000175:diagnosis / Q000453:epidemiology*; D010343:Patient Admission / Q000639:trends; D012042:Registries; D012307:Risk Factors; D017678:Sex Distribution; D012737:Sex Factors; D013997:Time Factors
keywords: The Netherlands; falls; older adults; older people; pelvic fractures; trends