Osteologie 2022; 31(03): 230-232
DOI: 10.1055/s-0042-1755920
Abstracts
Poster

Incidence and mortality risk after pelvic fracture in Austria, 2010-2018

Authors

  • Martina Behanova

    1   Ludwig Boltzmann Institute of Osteology, Wien

  • Judith Haschka

    2   Ludwig Boltzmann Institute of Osteology, Hanusch Hospital of OEGK and AUVA Trauma Center Meidling, 1st Med.Dep. Hanusch Hospital, Wien

  • Berthold Reichardt

    3   Austrian Social Health Insurance Fund, Österreichische Gesundheitskasse, Eisenstadt

  • Hans-Peter Dimai

    4   Medical University of Graz, Division of Endocrinology and Diabetology, Department of Medicine, Graz

  • Jochen Zwerina

    2   Ludwig Boltzmann Institute of Osteology, Hanusch Hospital of OEGK and AUVA Trauma Center Meidling, 1st Med.Dep. Hanusch Hospital, Wien

  • Roland Kocijan

    2   Ludwig Boltzmann Institute of Osteology, Hanusch Hospital of OEGK and AUVA Trauma Center Meidling, 1st Med.Dep. Hanusch Hospital, Wien
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Introduction Pelvic fractures (PF) are related to osteoporosis and represent a serious individual and socioeconomic burden. It has been shown that age-standardized incidence of hip fractures has been declining in the Austrian population aged≥50 years, but less is known regarding epidemiological situation of pelvic fractures in Austria.

Methods We examined age and sex standardized incidence rates of PF, rates of all-cause overall and one-year mortality among patients with PF, and comparison of mortality between PF patients and age-sex matched fracture-free controls. Patients≥50 years old in Austria hospitalised with PF in 2010-2018 and their dates of death were recorded.

Results We identified 54,975 patients with PF, of whom 70.9% were women. Between 2010 and 2018 the standardized incidence rates of PF increased in both sexes. For men it increased by 10.0%, from 125.3 (95% CI 118.9 – 132.0) to 137.8 (95% CI 131.8-144.0) per 100,000 and for women by 2.7% from 218.7 (95% CI 212.0-225.6) to 224.7 (95% CI 218.3-231.3) per 100,000. The women-men annual incidence ratio decreased over time from 1.7 to 1.6. One-year post-PF mortality rate was higher in men than in women (13.0% and 11.1% respectively, p<0.001). Pelvic fractured patients above 65 years old had elevated mortality hazard (HR 1.75, 95% CI 1.71-1.79, p<0.001) compared to controls.

Discussion There is a clear increase in incidence of PF in the aged population, with a higher increase in men over time. Pelvic fracture itself contributes to increased mortality in population above 65 years old. Taking into account the increased morbidity, mortality, hospitalization rate and consequently high socio-economic costs after PF, clinicians should be aware of PF.

Keywords pelvic fracture, epidemiology, osteoporosis, mortality, Austria

Korrespondenzadresse Martina Behanova, Ludwig Boltzmann Institute of Osteology, Heinrich Collin Str. 30, 1140 Wien, Austria, E-Mail: martina.behanova@osteologie.lbg.ac.at



Publication History

Article published online:
08 September 2022

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