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A Demographic Study of Fractures in Patients Presenting to A Tertiary Care Hospital in Peshawar Pakistan: A 10-Year Retrospective Analysis
Keywords:
Keywords: Fractures, Road Traffic Accidents, Trauma.Abstract
ABSTRACT
Objective: To determine the frequency, aetiology and age distribution of different fractures in patients presenting to a tertiary care center in Peshawar.
Methods: This was a descriptive cross-sectional study, conducted at Rehman Medical Institute, Peshawar, Khyber Pakhtunkhwa in the months of March 2018 to September 2018. A total of 1829 records related to fractures were obtained from the hospital archives. All fractures from all causes were taken into consideration, with in-patient records from 2004 to 2014 period. Data obtained was entered into MS Excel 2013 and were analyzed through formulating pivot tables. Percentages of the site-based fractures with three sets of age brackets were determined.
Results: The total fractures were 1829 in 72.9% (n=1334) males and 27.1% (n=495) female patients. Individuals in the age group 15 to 64 years were in majority (67.3%, n=1230). The most common site of fracture was femur (38%,n=695) and least common scapula( 0.3 % ,n=5). The most frequent (37.5%) cause of fracture was road traffic accident (RTA) and majority cases (29) were reported in 2013.
Conclusion: A general trend of lower limb fractures followed by upper limb and spine can be depicted from the data at hand. The most commonly occurring fracture was that of the femur with majority of the patients involved being in the 15 to 64 years age group. These fractures occurred mainly due to road traffic accidents.
References
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34. Trybus M, Lorkowski J, Brongel L, H?adki W. Causes and consequences of hand injuries. The American journal of surgery 2006;192(1):52-7.
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2. Holmberg AH, Johnell O, Nilsson PM, Nilsson J, Berglund G, Akesson K. Risk factors for hip fractures in a middle-aged population: a study of 33,000 men and women. Osteoporos Int 2005; 16: 2185-94.
3. Stone KL, Ancoli-Israel S, Blackwell T, Ensrud KE, Cauley JA,Redline S et al. Actigraphy-measured sleep characteristics and risk of falls in older women. Arch Intern Med 2008; 168: 1768-7.
4. Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A. Incidence and economic burden of osteoporosis-related fractures in the United States, 2005–2025. J Bone Miner Res 2007; 22:465-75.
5. Hernlund E, Svedbom A, Ivergård M, Compston J, Cooper C, Stenmark J et al.. Osteoporosis in the European Union: medical management, epidemiology and economic burden. Archives of osteoporosis 2013 ;8(1-2):136.
6. Johnell O, Kanis JA. An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporosis international 2006;17(12):1726-33.
7. US Department of Health and Human Services. Bone health and osteoporosis: A report of the Surgeon General. Rockville, MD: US Department of Health and Human Services, Office of the Surgeon General 2004;87:15-25.
8. Van Staa TP, Dennison EM, Leufkens HG, Cooper C. Epidemiology of fractures in England and Wales. Bone 2001;29(6):517-22.
9. Center for Health Statistics and Information, the Ministry of Health of the People’s Republic of China. China health statistics annual 2013. http://www.nhfpc.gov.cn/htmlfiles/zwgkzt/ptjnj/ year2013/index2013.html
10. Boonen S, Reginster JY, Kaufman JM, Lippuner K, Zanchetta J, Langdahl B et al. Fracture risk and zoledronic acid therapy in men with osteoporosis. New England Journal of Medicine. 2012 ;367(18):1714-23.
11. Donaldson LJ, Reckless IP, Scholes S, Mindell JS, Shelton NJ. The epidemiology of fractures in England. Journal of Epidemiology & Community Health 2008 ;62(2):174-80.
12. Etxebarria-Foronda I, Arrospide A, Soto-Gordoa M, Caeiro JR, Abecia LC, Mar J. Regional variability in changes in the incidence of hip fracture in the Spanish population (2000–2012). Osteoporosis International 2015;26(5):1491-7.
13. Kanis JA, Oden A, McCloskey EV, Johansson H, Wahl DA, Cooper C. A systematic review of hip fracture incidence and probability of fracture worldwide. Osteoporosis international 2012;23(9):2239-56.
14. Cauley JA, Chalhoub D, Kassem AM, Fuleihan GE. Geographic and ethnic disparities in osteoporotic fractures. Nature Reviews Endocrinology 2014;10(6):338.
15. Boyce WJ, Vessey MP. Rising incidence of fracture of the proximal femur. The Lancet 1985;325(8421):150-1.
16. Lewis AF. Fracture of neck of the femur: changing incidence. Br Med J (Clin Res Ed) 1981;283(6301):1217-20.
17. Voleti PB, Namdari S, Mehta S. Fractures of the scapula. Advances in orthopedics. 2012;20-23.
18. Meling T, Harboe K, Soreide K. Incidence of traumatic long-bone fractures requiring in-hospital management: A prospective age-and gender-specific analysis of 4890 fractures. Injury 2009;40(11):1212-9.
19. Sanders KM, Seeman E, Ugoni AM, Pasco JA, Martin TJ, Skoric B et al. Age-and gender-specific rate of fractures in Australia: a population-based study. Osteoporosis International 1999;10(3):240-7.
20. Ahmed LA, Schirmer H, Bjornerem Å, Emaus N, Jorgensen L, Stormer J et al. The gender-and age-specific 10-year and lifetime absolute fracture risk in Tromso, Norway. European journal of epidemiology 2009;24(8):441-8.
21. Singer BR, McLauchlan GJ, Robinson CM, Christie J. Epidemiology of fractures in 15 000 adults: the influence of age and gender. J Bon Joint Surg Br 1998;80(2):243-8.
22. Donaldson LJ, Cook A, Thomson RG. Incidence of fractures in a geographically defined population. Journal of Epidemiology & Community Health 1990;44(3):241-5.
23. Cooper C, Dennison EM, Leufkens HG, Bishop N, van Staa TP. Epidemiology of childhood fractures in Britain: a study using the general practice research database. Journal of Bone and Mineral Research 2004 ;19(12):1976-81.
24. Gwinner C, Mardian S, Schwabe P, Schaser KD, Krapohl BD, Jung TM. Current concepts review: Fractures of the patella. GMS Interdisciplinary plastic and reconstructive surgery DGPW 2016;5-10.
25. Bostrom Å. Fracture of the patella: a study of 422 patellar fractures. Acta Orthopaedica Scandinavica 1972 ;43(sup143):1-80.
26. Sharma BR. Road traffic injuries: a major global public health crisis. Public Health 2008;122(12):1399-406.
27. World Health Organization. Global status report on road safety 2018.
28. Odero W, Garner P, Zwi A. Road traffic injuries in developing countries: a comprehensive review of epidemiological studies. Tropical Medicine & International Health 1997;2(5):445-60.
29. Singh A, Bhardwaj A, Pathak R, Ahluwalia SK. An epidemiological study of road traffic accident cases at a tertiary care hospital in rural Haryana. Indian Journal of Community Health 2011;23(2):53-5.
30. Chandran A,Hyder AA,Peek-Asa C.The Global Burden of Unintentional Injuries and an Agenda for Progress. Epidemiol Rev 2010; 32(1): 110-120.
31. Shamim S, Razzak JA, Jooma R, Khan U. Initial results of Pakistan's first road traffic injury surveillance project. International journal of injury control and safety promotion. 2011;18(3):213-7.
32. Roudsari BS, Sharzei K, Zargar M. Sex and age distribution in transport-related injuries in Tehran. Accident Analysis & Prevention 2004;36(3):391-8.
33. Mirza FH, Parhyar HA, Tirmizi SZ. Rising threat of terrorist bomb blasts in Karachi–a 5-year study. Journal of forensic and legal medicine 2013;20(6):747-51.
34. Trybus M, Lorkowski J, Brongel L, H?adki W. Causes and consequences of hand injuries. The American journal of surgery 2006;192(1):52-7.
35. Sorock GS, Lombardi DA, Hauser RB, Eisen EA, Herrick RF, Mittleman MA. Acute traumatic occupational hand injuries: type, location, and severity. Journal of occupational and environmental medicine. 2002 ;44(4):345-51.
36. Wickham C, Cooper C, Margetts BM, Barker DJ. Muscle strength, activity, housing and the risk of falls in elderly people. Age and ageing 1989;18(1):47-51.
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Published
2019-10-30
Conference Proceedings Volume
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Original Articles
How to Cite
A Demographic Study of Fractures in Patients Presenting to A Tertiary Care Hospital in Peshawar Pakistan: A 10-Year Retrospective Analysis. (2019). Journal of Pakistan Orthopaedic Association, 31(03), 98-103. http://jpoa.org.pk/index.php/upload/article/view/335
