Epidemiology of traumatic injuries in the elderly patients: A descriptive study from a developing country

  • Behnam Panjavi Department of Orthopedic and Trauma Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
  • saeed shakiba School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  • Khashayar Afshari School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  • Farbod Yousefi School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  • Saeed Reza Mehrpour Department of Orthopedic and Trauma Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
  • Mohammad Sadeq Najafi School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  • Mohammad Hossein Nabian Mail Department of Orthopedic and Trauma Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
Keywords:
traumatic injuries, elderly patient

Abstract

Background: The epidemiology of traumatic injuries in elderly patient fractures varies widely among countries. There is quantitative information to determine the prevalence and gender/age distribution of traumatic injuries in elderly patient.

Purpose: The aim of the current study was to reveal the prevalence and age and gender distribution of various traumatic injuries in an elderly patient refer to tertiary orthopedic hospital in Iran.

Patients and Methods: In a prospective descriptive study, all elder patient with traumatic injuries attending the Orthopedic Trauma Unit of our center in a 2001-2011 were included. Demographic details, the cause of injury, injury classification was recorded. For each gender we calculated the numbers with fractures, dislocations, soft tissue injuries, ligamentous injuries and lacerations and derived average age and gender-specific prevalence.

Results: During a period of 10 years, a total of 1172 elderly patients were admitted, 588 (50.1%) males and 584 (49.9%) females. 849 patients (72.4%) had fractures. 323 (27.5%) of patient had other limb injuries were include soft tissue injuries, lacerations, ligamentous injuries, and dislocations. The three most common fracture sites were proximal femur (40.02%), distal radius/ulna (12.47%), and proximal humerus (6.53%).

Conclusion: The most prevalent traumatic injury among the elderly was fracture which higher in female. The most common fracture sites were proximal of femur and distal of radius and ulna bones.

References

1. Mock C, Cherian MNJCo, research r. The global burden of musculoskeletal injuries: challenges and solutions. 2008;466(10):2306.
2. Belmont PJ, Owens BD, Schoenfeld AJJJ-JotAAoOS. Musculoskeletal injuries in Iraq and Afghanistan: epidemiology and outcomes following a decade of war. 2016;24(6):341-8.
3. Browne GJ, Barnett PLJJop, health c. Common sports‐related musculoskeletal injuries presenting to the emergency department. 2016;52(2):231-6.
4. Cooper C, Campion G, Melton LrJOi. Hip fractures in the elderly: a world-wide projection. 1992;2(6):285-9.
5. Organization WH, editor WHO scientific group on the assessment of osteoporosis at primary health care level. Summary meeting report; 2004.
6. Health UDo, Human Services %J Rockville MUDoH, Human Services OotSG. Bone health and osteoporosis: a report of the Surgeon General. 2004;87.
7. Al-Rowaih A, Suresha A, Memon A, Tantawy AY, Abdul-Ghafar S, pospula WM. Incidence of hip fracture in Kuwait. International Journal of Epidemiology. 1998;27(5):860-5.
8. Mehrpour SR, Nabian MH, Zanjani LO, Foroughmand-Araabi M-H, Kamrani RSJAjosm. Descriptive epidemiology of traumatic injuries in 18890 adults: a 5-year-study in a tertiary trauma center in Iran. 2015;6(1).
9. Cooper C, Barker D, Morris J, Briggs RJBMJ. Osteoporosis, falls, and age in fracture of the proximal femur. 1987;295(6589):13-5.
10. Hedström EM, Svensson O, Bergström U, Michno PJAo. Epidemiology of fractures in children and adolescents: Increased incidence over the past decade: a population-based study from northern Sweden. 2010;81(1):148-53.
11. Singer B, McLauchlan G, Robinson C, Christie JJTJob, volume jsB. Epidemiology of fractures in 15 000 adults: the influence of age and gender. 1998;80(2):243-8.
Published
2020-08-23
How to Cite
1.
Panjavi B, shakiba saeed, Afshari K, Yousefi F, Mehrpour SR, Najafi MS, Nabian MH. Epidemiology of traumatic injuries in the elderly patients: A descriptive study from a developing country. Acta Med Iran. 58(6):271-274.
Section
Articles