| Objectives To understand the profile of epidemiologic features&sickness burden ofelderly women with bone injuries in a given Orthopaedics Hospital in Tangshan throughanalyzing clinical data and life quality survey. Our finding will provide science evidenceof preventing and controlling their incidence of bone injuries and improve their lifequality at reduced medical costs.Methods The cross-section study was conducted. Elderly women patients with over orequal60years old were selected as our subjects who were hospitalized from Jan2011toDec2013in a given Orthopaedics Hospital in Tangshan. The approaches of retrospectiveanalysis and one-for-one interview in place were used to get general information, boneinjuries status, clinical information, and medical costs. SF-36questionnaire was used toconduct life quality investigation on the part of the hospitalized patients. With theestablishment of database through Epidata3.0and the statistical software of SPSS16.0was used to conduct statistic analysis. Enumeration data was showed with frequency orcomposition and analyzed with chi-square test. And measurement data were showed withmedian and quartile intervals with nonparametric test in comparisons of different groups.Results1The results showed that866cases were bone injuries with single parts and235cases were multiple parts bone injuries. The parts that occurred bone injuriesincluded lower limbs, upper limbs, trunks, and necks. Fracture accounted for95.9%ofelderly women with bone injuries due to tumble or fall, making up80.3%. The top fivecases of bone injuries were tumble&fall, accidental traffic accidents, drop, a crashingobject and knife respectively.2Patients usually have bone injury indoors and accounted for61.8%. The top fiveactivities led to injuries were walking (52.0%）, household chores (15.8%), takingbicycles or tricycles (9.0%), getting off the bed (7.0%) and going to the washroom (6.2%)in order.3Elderly women are likely to have bone injuries all the year round. The highestincidence quarter was the second quarter (28.4%), followed by the third quarter (24.9%),the first quarter (24.0%) and the fourth quarter (22.5%). In terms of a month, May has thehighest incidence (10.1%). while in terms of accurate time, most of them may get injuries between9:00and10:00in the morning and between16:00and18:00in the afternoon.4Patients with bone injuries usually were hospitalize at emergency department inhospital, accounting for86.5%. Surgery was the main treatment. Of all the patients,5.4%were with complication.80.2%patients with bone injury were recovered after treatment.5The average hospitalization periods was14.6±9.8day.75.4%of patients have all-incost of over￥10,000, with the median of￥23,944.8. The highest medication cost was￥14,647, and￥29,724for the high surgery fee. The highest examination fees was￥550and the highest all-in cost was￥105,696.6The factors including financial situation, place of residence, injured parts, andsuffering from chronic diseases did impact on medical expenses of patients. Theinfluence factors of immaterial burden (life quality) included financial situation, place ofresidence, age, pay way, hospitalization periods.Conclusions The injuries caused by tumble&fall are the top issues and though to besolved in terms of elderly women bone injury. Control or prevent worked should bedeveloped. Meanwhile, their injuries shall impose heavy financial burden on their familyand inevitably have a negative effect on the living quality of their own. As a result, basedon features of injury incidence, risk population or situation should be indentified in termof elderly women bone injure. The relative measure should be taken to reduce injuryoccurrence and impact on elderly women’s life as well as correspondingly improve theirlife quality. |
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