دورية أكاديمية
أعرض في EDS

Does socioeconomic status influence the epidemiology and outcome of distal radial fractures in adults?

التفاصيل البيبلوغرافية
العنوان: Does socioeconomic status influence the epidemiology and outcome of distal radial fractures in adults?
المؤلفون: Clement ND; Department of Orthopaedics and Trauma, The Royal Infirmary of Edinburgh, Little France, Edinburgh, EH16 4SA, UK., Duckworth AD; Department of Orthopaedics and Trauma, The Royal Infirmary of Edinburgh, Little France, Edinburgh, EH16 4SA, UK., Wickramasinghe NR; Department of Orthopaedics and Trauma, The Royal Infirmary of Edinburgh, Little France, Edinburgh, EH16 4SA, UK. neilrwicks@gmail.com., Court-Brown CM; Department of Orthopaedics and Trauma, The Royal Infirmary of Edinburgh, Little France, Edinburgh, EH16 4SA, UK., McQueen MM; Department of Orthopaedics and Trauma, The Royal Infirmary of Edinburgh, Little France, Edinburgh, EH16 4SA, UK.
المصدر: European journal of orthopaedic surgery & traumatology : orthopedie traumatologie [Eur J Orthop Surg Traumatol] 2017 Dec; Vol. 27 (8), pp. 1075-1082. Date of Electronic Publication: 2017 Jun 21.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer-Verlag France Country of Publication: France NLM ID: 9518037 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-1068 (Electronic) Linking ISSN: 16338065 NLM ISO Abbreviation: Eur J Orthop Surg Traumatol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Paris : Springer-Verlag France
مواضيع طبية MeSH: Poverty* , Social Class*, Radius Fractures/*epidemiology , Radius Fractures/*physiopathology, Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Complex Regional Pain Syndromes/etiology ; Female ; Hand Strength ; Humans ; Male ; Middle Aged ; Radiography ; Radius Fractures/complications ; Radius Fractures/diagnostic imaging ; Range of Motion, Articular ; Sex Factors ; Trauma Severity Indices ; Wrist Joint/physiopathology ; Young Adult
مستخلص: Purpose: The aim of this study in adult patients with a distal radial fracture was to determine whether socioeconomic status influenced the epidemiology, mechanism of injury, fracture severity, or the outcome according to function, radiographic assessment, and rate of associated complications.
Methods: We identified 3983 distal radial fractures over a 7-year period. Socioeconomic status was assigned using the Carstairs score, and the population was divided into quintiles depending on deprivation. Patient demographics, mechanism of injury, fracture severity, and radiographic assessment at time of injury were assessed for epidemiological differences according to social quintile. Functional outcome was assessed using grip strength, Moberg pickup test, return to normal use of the hand, and range of movement. Radiographs were assessed at 1 week, 6 weeks, and 1 year. Complications were defined as malunion, carpal tunnel syndrome, complex regional pain syndrome (CRPS), persistent pain, and subjective cosmetic deformity of the wrist.
Results: Socioeconomically deprived patients were significantly younger (p < 0.001) and more likely to be male (p = 0.017); after adjusting for confounding factors, deprived patients were 3.1 (95% CI 1.4-4.7) years younger than the most affluent patients (p < 0.001). Deprived patients were more likely to sustain their fracture by a high-energy mechanism (p = 0.004). There were no significant differences between quintiles in outcome. There was a significantly greater prevalence of CRPS in more affluent patients (p = 0.004).
Conclusions: Socioeconomically deprived patients sustaining a distal radial fracture are more likely to be younger and male. Outcome is not influenced by socioeconomic status, but the prevalence of CRPS is greater in more affluent patients.
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فهرسة مساهمة: Keywords: Distal radius fracture; Epidemiology; Social deprivation
تواريخ الأحداث: Date Created: 20170623 Date Completed: 20180706 Latest Revision: 20181113
رمز التحديث: 20240628
DOI: 10.1007/s00590-017-2003-z
PMID: 28638948
قاعدة البيانات: MEDLINE
الوصف
تدمد:1432-1068
DOI:10.1007/s00590-017-2003-z