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There have been changes in the incidence and epidemiology of pelvic ring fractures in recent decades?

机译:最近几十年,骨盆环骨折的发生率和流行病学发生了变化吗?

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The pelvic ring fractures comprise 2 -8% of all skeletal injuries. As the incidence rises to 25% in polytrauma and represents a negative prognostic factor with regard to morbidity and mortality of patients, we sought with this work to establish the profile of these, compared to an alteration in the profile of patients with pelvic ring fractures in recent decades. To this end, we evaluated the epidemiological profile, mechanism of injury and types of fractures. By reviewing the literature indexed in the databases related to the theme, 20 papers were selected that contained the requirements for the study. For the period between January 1987 and December 1999 (first decade), and another period in January 2000 and December 2010 (second decade), data were analyzed by Mann -Whitney test. The ratings Tile, Young and Burgess AO were adequate to permit their categorization. The research in each decade was homogeneous. At first the lesions were more prevalent in men with 62.5% with a tendency to reverse this pattern given the increase of women in the second decade (p = 0.286). The average age in the first decade was 39.3 years, an increase in the second (p = 0.068). The most prevalent mechanisms of trauma were related to traffic in both periods as well as fractures classified as type A (p = 0.203 and p = 0.457, respectively), having mortality rates decreased (p = 0.396). We conclude that there was a tendency to increase in the average age of patients (p = 0.068); however the increasing involvement of women (p = 0.286) and decreased mortality (p = 0.396) were not significant.
机译:骨盆环骨折占所有骨骼损伤的2 -8%。由于多发伤的发生率上升到25%,并且代表了患者的发病率和死亡率的不良预后因素,我们试图通过这项工作来确定这些特征,与骨盆环骨折患者的特征变化相比。近几十年来。为此,我们评估了流行病学概况,伤害机制和骨折类型。通过查阅与主题相关的数据库中的索引文献,选择了20篇包含研究要求的论文。对于1987年1月至1999年12月(第一个十年)以及2000年1月至2010年12月(第二个十年)的另一个时期,通过Mann -Whitney检验分析了数据。等级Tile,Young和Burgess AO足以进行分类。每十年的研究都是同类的。起初,病灶在男性中更为普遍,为62.5%,鉴于第二个十年女性的增加,这种趋势倾向于扭转(p = 0.286)。前十年的平均年龄为39.3岁,第二年增加了(p = 0.068)。最普遍的创伤机制与两个时期的交通状况以及A类骨折有关(分别为p = 0.203和p = 0.457),死亡率降低(p = 0.396)。我们得出的结论是,患者平均年龄有增加的趋势(p = 0.068)。然而,妇女的参与度增加(p = 0.286)和死亡率降低(p = 0.396)并不显着。

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