Social deprivation and adult tibial diaphyseal fractures

被引：17
作者：
Court-Brown, Charles M. [1 ]
Brydone, Alistair [1 ]
机构：
[1] Royal Infirm Edinburgh NHS Trust, Edinburgh EH16 4SU, Midlothian, Scotland
来源：
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 2007年 / 38卷 / 07期
关键词：
tibial fractures; social deprivation; intramedullary nailing; carstairs index; SOCIOECONOMIC DEPRIVATION; CHILDHOOD FRACTURES; CHILDREN; PREVALENCE; INJURY; PEOPLE;
D O I：
10.1016/j.injury.2006.12.008
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
We present an analysis of the relationship between social deprivation and tibial diaphyseal fractures. We reviewed 1331 patients and have demonstrated a clear relationship between social deprivation and tibial. fractures. Deprivation was also associated with mate gender and with age, there being significantly less deprivation in older patients. The effect of deprivation on fracture outcome was assessed in 910 patients in whom the tibial fractures were treated by reamed intramedullary nailing. There was no association with non-union or infection, but there was a trend towards increased deprivation in patients who had an amputation which related to a trend for socially deprived patients to have more severe fractures. We believe that the main reason why the effects of deprivation decrease with age relates to the different modes of injury at different ages. (c) 2006 Elsevier Ltd. All rights reserved.
引用
收藏
页码：750 / 754
页数：5
相关论文
共 23 条
  • [1] Socioeconomic differentials in recurrent ischaemia and mortality after acute myocardial infarction[J]. Barakat, K;Stevenson, S;Wilkinson, P;Suliman, A;Ranjadayalan, K;Timmis, AD. HEART, 2001(04)
  • [2] Epidemiology of femoral fractures in children in the West Midlands region of England 1991 to 2001[J]. Bridgman, S;Wilson, R. JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2004(08)
  • [3] Carstairs V., 1991, DEPRIVATION HLTH SCO
  • [4] Court-Brown CM, 2006, ROCKWOOD GREENS FRAC, V1, P95
  • [5] Social deprivation and adult head injury: a national study[J]. Dunn, L;Henry, J;Beard, D. JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2003(08)
  • [6] Socio-economic status, obesity and prevalence of Type 1 and Type 2 diabetes mellitus[J]. Evans, JMM;Newton, RW;Ruta, DA;MacDonald, TM;Morris, AD. DIABETIC MEDICINE, 2000(06)
  • [7] PROBLEMS IN THE MANAGEMENT OF TYPE-III (SEVERE) OPEN FRACTURES - A NEW CLASSIFICATION OF TYPE-III OPEN FRACTURES[J]. GUSTILO, RB;MENDOZA, RM;WILLIAMS, DN. JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1984(08)
  • [8] PREVENTION OF INFECTION IN TREATMENT OF 1000 AND 25 OPEN FRACTURES OF LONG BONES - RETROSPECTIVE AND PROSPECTIVE ANALYSES[J]. GUSTILO, RB;ANDERSON, JT. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1976(04)
  • [9] Impact of socioeconomic deprivation on outcome after surgery for colorectal cancer[J]. Hole, DJ;McArdle, CS. BRITISH JOURNAL OF SURGERY, 2002(05)
  • [10] The effect of socioeconomic deprivation on fracture incidence in the United Kingdom[J]. Jones, S;Johansen, A;Brennan, J;Butler, J;Lyons, RA. OSTEOPOROSIS INTERNATIONAL, 2004(07)
123