title: Epidemiology of orthopedic fractures and other injuries among inpatients admitted due to traffic accidents: a 10-year nationwide survey in Taiwan.
abstract: 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.
authors.affiliation: Department of Emergency Medicine, Taoyuan General Hospital, Ministry of Health & Welfare, Taoyuan 33004, Taiwan ; Department of Orthopedic Surgery, Taoyuan General Hospital, Ministry of Health & Welfare, Taoyuan 33004, Taiwan ; Department of Computer Science and Engineering, National Chung Hsing University, Taichung 40227, Taiwan.
authors.forename: Ren-Hao
authors.initials: RH
authors.lastname: Pan
authors.affiliation: Department of Nursing, College of Medicine, National Taiwan University, Taipei 10617, Taiwan ; Institute of Public Health, National Yang-Ming University, Taipei 11221, Taiwan.
authors.forename: Nien-Tzu
authors.initials: NT
authors.lastname: Chang
authors.affiliation: Institute of Public Health, National Yang-Ming University, Taipei 11221, Taiwan ; Department of Neurologic Surgery, Taipei City Hospital, Taipei 10341, Taiwan.
authors.forename: Dachen
authors.initials: D
authors.lastname: Chu
authors.affiliation: Department of Emergency Medicine, Taoyuan General Hospital, Ministry of Health & Welfare, Taoyuan 33004, Taiwan ; Department of Orthopedic Surgery, Taoyuan General Hospital, Ministry of Health & Welfare, Taoyuan 33004, Taiwan.
authors.forename: Kuo-Fang
authors.initials: KF
authors.lastname: Hsu
authors.affiliation: Department of Emergency Medicine, Taoyuan General Hospital, Ministry of Health & Welfare, Taoyuan 33004, Taiwan ; Institute of Public Health, National Yang-Ming University, Taipei 11221, Taiwan.
authors.forename: Yuan-Nian
authors.initials: YN
authors.lastname: Hsu
authors.affiliation: Department of Emergency Medicine, Taoyuan General Hospital, Ministry of Health & Welfare, Taoyuan 33004, Taiwan ; Department of Orthopedic Surgery, Taoyuan General Hospital, Ministry of Health & Welfare, Taoyuan 33004, Taiwan.
authors.forename: Jin-Chyr
authors.initials: JC
authors.lastname: Hsu
authors.affiliation: Department of Computer Science and Engineering, National Chung Hsing University, Taichung 40227, Taiwan ; Department of Computer Science and Communication Engineering, Providence University, Taichung 43301, Taiwan.
authors.forename: Lin-Yu
authors.identifier: 0000-0003-3704-3947
authors.initials: LY
authors.lastname: Tseng
authors.affiliation: Department of Orthopedic Surgery, Taoyuan General Hospital, Ministry of Health & Welfare, Taoyuan 33004, Taiwan ; Institute of Public Health, National Yang-Ming University, Taipei 11221, Taiwan.
authors.forename: Nan-Ping
authors.identifier: 0000-0001-5675-5937
authors.initials: NP
authors.lastname: Yang
mesh_terms: D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D003625:Data Collection; D005260:Female; D050723:Fractures, Bone / Q000453:epidemiology* / Q000209:etiology; D006801:Humans; D007297:Inpatients; D008297:Male; D008875:Middle Aged; D010343:Patient Admission; D013624:Taiwan / Q000453:epidemiology; D014947:Wounds and Injuries / Q000453:epidemiology* / Q000209:etiology; D055815:Young Adult