title: Low-Trauma Pelvic Fractures in Elderly Finns in 1970-2013.
abstract: Low-trauma fractures of elderly persons are a major public health problem. However, epidemiologic knowledge on their fresh secular trends is scarce. Trends in the number and incidence (per 100,000 persons) of low-trauma fractures of the pelvic ring among older Finns were assessed by taking into account individuals 80-year-old or older who were admitted to Finnish hospitals for primary treatment of such injury in 1970-2013. The number and age-adjusted incidence of these fractures increased considerably between 1970 and 2013, from 33 (number) and 73 (incidence) in 1970 to 1055 and 364 in 2013. The age-specific incidence of fracture also increased in all age groups (80-84, 85-89, and 90-) of women and men during the entire study period. If the fracture incidence continues to rise at the same rates as in 1970-2013 and the size of the 80-year-old or older population of Finland increases as predicted (87 % by the year 2030), the number low-trauma pelvic fractures in this population will be 2.4 times higher in the year 2030 (2550 fractures) than it was in 2013 (1055 fractures). The number of low-trauma fractures of the pelvis among Finns 80 years of age or older has risen sharply between 1970 and 2013-with a rate that cannot be explained merely by demographic changes. Further studies are urgently needed to better assess the reasons for the rise and possibilities for fracture prevention.
authors: Injury & Osteoporosis Research Center, UKK Institute for Health Promotion Research, P.O. Box 30, 33501, Tampere, Finland. pekka.kannus@uta.fi.|Medical School, University of Tampere, Tampere, Finland. pekka.kannus@uta.fi.|Department of Orthopedics and Trauma Surgery, Tampere University Hospital, Tampere, Finland. pekka.kannus@uta.fi.
authors: Pekka
authors: P
authors: Kannus
authors: Tampere Research Center of Sports Medicine, UKK Institute for Health Promotion Research, Tampere, Finland.
authors: Jari
authors: J
authors: Parkkari
authors: Injury & Osteoporosis Research Center, UKK Institute for Health Promotion Research, P.O. Box 30, 33501, Tampere, Finland.
authors: Seppo
authors: S
authors: Niemi
authors: Injury & Osteoporosis Research Center, UKK Institute for Health Promotion Research, P.O. Box 30, 33501, Tampere, Finland.|Medical School, University of Tampere, Tampere, Finland.|Department of Orthopedics and Trauma Surgery, Tampere University Hospital, Tampere, Finland.
authors: Harri
authors: H
authors: Sievänen
mesh_terms: D017677:Age Distribution; D000369:Aged, 80 and over; D005260:Female; D005387:Finland / Q000453:epidemiology; D050723:Fractures, Bone / Q000453:epidemiology*; D006801:Humans; D015994:Incidence; D008297:Male; D010384:Pelvic Bones; D017678:Sex Distribution
keywords: Epidemiology; Finland; Older adults; Pelvic fracture; Secular trends