The incidence and factors of hip fractures and subsequent ... - PLOS

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Feb 15, 2018 - Kai-Biao Lin1,2☯, Nan-Ping Yang3,4☯, Yi-Hui Lee5,6, Chien-Lung Chan2,7☯, Chi-Hsu Wu8, ... and Community Medicine Research Center, National Yang-Ming University, ... Citation: Lin K-B, Yang N-P, Lee Y-H, Chan C-L,.
RESEARCH ARTICLE

The incidence and factors of hip fractures and subsequent morbidity in Taiwan: An 11-year population-based cohort study Kai-Biao Lin1,2☯, Nan-Ping Yang3,4☯, Yi-Hui Lee5,6, Chien-Lung Chan2,7☯, Chi-Hsu Wu8, Hou-Chuan Chen4,9, Nien-Tzu Chang5*

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1 School of Computer & Information Engineering, Xiamen University of Technology, Xiamen, China, 2 Department of Information Management, Yuan Ze University, Taoyuan, Taiwan, 3 Department of Surgery & Orthopedics, Keelung Hospital, Ministry of Health & Welfare, Keelung, Taiwan, 4 Institute of Public Health and Community Medicine Research Center, National Yang-Ming University, Taipei, Taiwan, 5 School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan, 6 Department of Nursing, School of Nursing, College of Medicine, Chang-Gang University, Taoyuan, Taiwan, 7 Innovation Center for Big Data and Digital Convergence, Yuan Ze University, Taoyuan, Taiwan, 8 Department of Bioengineering, University of Strathclyde, Glasgow, United Kingdom, 9 Department of Orthopedics, Taoyuan Hospital, Ministry of Health & Welfare, Taoyuan, Taiwan ☯ These authors contributed equally to this work. * [email protected]

OPEN ACCESS Citation: Lin K-B, Yang N-P, Lee Y-H, Chan C-L, Wu C-H, Chen H-C, et al. (2018) The incidence and factors of hip fractures and subsequent morbidity in Taiwan: An 11-year population-based cohort study. PLoS ONE 13(2): e0192388. https://doi.org/ 10.1371/journal.pone.0192388 Editor: Tuan Van Nguyen, Garvan Institute of Medical Research, AUSTRALIA Received: June 4, 2017 Accepted: January 23, 2018 Published: February 15, 2018 Copyright: © 2018 Lin et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Data Availability Statement: The data underlying this study is from the National Health Insurance Research Database (NHIRD), which has been transferred to the Health and Welfare Data Science Center (HWDC). Interested researchers can obtain the data through formal application to the HWDC, Department of Statistics, Ministry of Health and Welfare, Taiwan (http://dep.mohw.gov.tw/DOS/np2497-113.html).

Abstract Hip fractures are a major problem to elder population, but subsequent morbidity is unclear about environmental factors and socioeconomic conditions. The study aims to investigate the incidence of hip fractures treated by the surgery; to compare the sequelae and temporal trends of hip fractures; to evaluate the seasonal effects in the subsequent short-term and long-term morbidities after hip fractures. A cohort study design is conducted using national health research datasets between 2000 and 2010. The ICD-9-CM diagnostic codes were utilized to investigate the incidence of hip fractures and the corresponding treatments. Hierarchical modeling was used to analyze the factors associated with various types of hip fractures. The results indicated that females had a lower incidence in the 30–44 age group, but a significantly higher incidence than males among those aged 60 years or older (adjusted rates 232.1 vs. 100.3 per 100,000 persons, p