Epidemiology of pelvic and acetabular fractures in the USA from 2007 to 2014
Authors' conclusion
When considering all patients coming to the ED, not only those admitted to the hospital, adjusted incidence of pelvic and acetabular fracture is much higher than what has been described before. Contrarily to the global increase seen in other countries, incidence of pelvic and acetabular fractures dropped in the USA from 2007 to 2014 and only a small increase in age-adjusted incidence of pelvic fracture in men was identified.
Study context
- Population
- All patients seen in the ED and diagnosed with pelvic/acetabular fracture in the USA, 2007–2014
- Exposure
- Women vs Men
- Outcome
- Age-adjusted incidence of pelvic and acetabular fractures per 100,000 persons/years
- Follow-up
- 2007–2014
Methodological detailsNationwide Emergency Department Sample (NEDS), 20% stratified all-payer sample of US hospital-based emergency departments (EDs)
- Nationwide Emergency Department Sample (NEDS), 20% stratified all-payer sample of US hospital-based EDs
Main finding
As reported in the abstract
- Pelvic fracture, overall
- 198 fractures/100,000/year
- Pelvic fracture, women
- 323
- Pelvic fracture, men
- 114
- Acetabular fracture, overall
- 40 fractures/100,000/year
- Acetabular fracture, women
- 36
- Acetabular fracture, men
- 51
Observational data: associations, not effects.
Secondary outcomes
Trends over time 2007–2014
- Small increase in age-adjusted incidence of pelvic fracture in men, the only significant trend
- P = 0.03
- Mean age at presentation, comorbidities and associated fragility fractures increased; patients more often sent home or to nursing facilities
Original publication
Epidemiology of pelvic and acetabular fractures in the USA from 2007 to 2014. Osteoporos Int. Published 29 December 2022. doi:10.
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