Citation

Sheridan E, Wiseman JM, Malik AT, Pan X, Quatman CE, Santry HP, Phieffer LS. Injury 2019; 50(7): 1288-1292.

Affiliation

Department of Orthopaedics, The Ohio State University Wexner Medical Center, United States.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.injury.2019.05.018

PMID

31160037

Abstract

INTRODUCTION: We sought to determine the effects of sociodemographic factors on the occurrence of orthopaedic injuries in an adult population presenting to a level 1 trauma center.

MATERIALS AND METHODS: We conducted a retrospective chart review of patients who received orthopaedic trauma care at a level 1 academic trauma center.

RESULTS: 20,919 orthopaedic trauma injury cases were treated at an academic level 1 trauma center between 01 January 1993 and 27 August 2017. Following application of inclusion/exclusion criteria, a total of 14,654 patients were retrieved for analysis. Out of 14,654 patients, 4602 (31.4%) belonged to low socioeconomic status (SES), 4961 (32.0%) to middle SES and 5361 (36.6%) to high SES. Following adjustment for age, sex, race, insurance status and injury severity score (ISS), patients belonging to middle SES vs. low SES (OR 0.77 [95% CI 0.63-0.94]; p = 0.009) or high SES vs. low SES (OR 0.77 [95% CI 0.62-0.95]; p = 0.016) had lower odds of receiving a penetrating injury as compared to a blunt injury.

CONCLUSION: The results from this study indicate that a link exists between sociodemographic factors and the occurrence of orthopaedic injuries presenting to a level 1 trauma center. The most common cause of injury varied within age groups, by sex, and within the different socioeconomic groups.

Copyright © 2019 Elsevier Ltd. All rights reserved.

Language: en

Keywords

Age; Blunt trauma; Fracture; Penetrating trauma; Race; Sex; Socioeconomic status