title: Epidemiology of hospitalized traumatic pelvic fractures and their combined injuries in Taiwan: 2000-2011 National Health Insurance data surveillance.
abstract: BACKGROUND
  From the viewpoint of prehospital emergency medicine, a greater proportion of pelvic fractures not of a life-threatening status but combined with other injuries need more comprehensive recognition.
  
  
  METHODS
  A 12-year nationwide health database of inpatients was reviewed. All cases diagnosed as pelvic fractures were enrolled. The associated injuries classified into 20 categories were further analyzed.
  
  
  RESULTS
  During 2000-2011, the hospitalized incidence of pelvic fractures in Taiwan ranged from 17.17 to 19.42 per 100,000, and an increasing trend with age was observed. The mean case-fatality rate was 1.6% for females and 2.1% for males; male patients with pelvic fractures had a significantly higher risk of death than female patients after adjusting for other covariates. 74.2% of these cases were combined with other injuries. The most common associated injuries in an identified body region were other orthopedic fractures of the lower limbs (21.50%), spine/trunk (20.97%), or upper limbs (18.18%), followed by significant head injuries (17.59%), intra-abdominal injuries (11.00%), and thoracic injuries (7.20%).
  
  
  CONCLUSIONS
  The incidence of hospitalized pelvic fractures in Taiwan was low and the case-fatality rate was lower than those of other countries. Concurrently, coexistence of major combined injuries with pelvic fractures was easily treated at medical centers.
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
authors.affiliation: Department of Information Management, Yuan Ze University, Taoyuan 32003, Taiwan.
authors.forename: Chien-Lung
authors.initials: CL
authors.lastname: Chan
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 Information Management, Yuan Ze University, Taoyuan 32003, Taiwan.
authors.forename: Yu-Zhen
authors.initials: YZ
authors.lastname: Lin
authors.affiliation: Department of Information Management, Yuan Ze University, Taoyuan 32003, Taiwan ; Department of Computer Science and Technology, Xiamen University of Technology, Xiamen 361024, China.
authors.forename: Kai-Biao
authors.initials: KB
authors.lastname: Lin
authors.affiliation: Department of Orthopedic Surgery, Taoyuan General Hospital, Ministry of Health & Welfare, Taoyuan 33004, Taiwan ; Department of Orthopedic Surgery, National Taiwan University Hospital, Taipei 10048, Taiwan.
authors.forename: Ching-Shao
authors.initials: CS
authors.lastname: Yu
authors.affiliation: Department of Orthopedic Surgery, Taoyuan General Hospital, Ministry of Health & Welfare, Taoyuan 33004, Taiwan.
authors.forename: I-Liang
authors.initials: IL
authors.lastname: Yu
authors.affiliation: Department of Nursing, College of Medicine, National Taiwan University, Taipei 10617, Taiwan.
authors.forename: Nien-Tzu
authors.identifier: 0000-0001-7611-3843
authors.initials: NT
authors.lastname: Chang
authors.affiliation: Department of Nursing, College of Medicine, National Taiwan University, Taipei 10617, Taiwan ; Department of Nursing, School of Nursing, Chang Gang University, Taoyuan 33302, Taiwan.
authors.forename: Yi-Hui
authors.initials: YH
authors.lastname: Lee
mesh_terms: D005260:Female; D050723:Fractures, Bone / Q000145:classification / Q000453:epidemiology*; D006801:Humans; D015994:Incidence; D008297:Male; D009104:Multiple Trauma / Q000145:classification / Q000453:epidemiology*; D009313:National Health Programs; D009985:Orthopedics / Q000379:methods; D010384:Pelvic Bones / Q000293:injuries* / Q000473:pathology; D013624:Taiwan