The incidence and factors of hip fractures and subsequent morbidity in Taiwan: an 11-year population-based cohort study

Kai Biao Lin, Nan Ping Yang, Yi Hui Lee, Chien Lung Chan, Chi Hsu Wu, Hou Chuan Chen, Nien Tzu Chang

Research output: Contribution to journalArticle

5 Citations (Scopus)

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<0.001). The incidence of hip fractures in the low-income group showed no significant difference compared to that in the general population. There was a temporal trend of a 8.6% increase in the incidence of all types of hip fractures over the period of 2000–2010. A summer-winter variation is observed among the elderly. Hip fractures and subsequent morbidity are increasing in Taiwan’s aging society. Older age, female gender, and time periods were independent risk factors for subsequent morbidities after surgical treatment. The result of this study is useful to the healthcare policy makers and to raise the public awareness of hip fractures.

LanguageEnglish
Article numbere0192388
JournalPLoS ONE
Volume13
Issue number2
DOIs
Publication statusPublished - 15 Feb 2018

Fingerprint

hip fractures
Hip Fractures
cohort studies
Taiwan
morbidity
Cohort Studies
Morbidity
incidence
Incidence
Population
complications (disease)
International Classification of Diseases
Administrative Personnel
health services
Surgery
Statistical Factor Analysis
socioeconomics
income
risk factors
Age Groups

Keywords

  • hip fracture
  • Taiwan
  • Taiwanese elderly

Cite this

Lin, K. B., Yang, N. P., Lee, Y. H., Chan, C. L., Wu, C. H., Chen, H. C., & Chang, N. T. (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
Lin, Kai Biao ; Yang, Nan Ping ; Lee, Yi Hui ; Chan, Chien Lung ; Wu, Chi Hsu ; Chen, Hou Chuan ; Chang, Nien Tzu. / The incidence and factors of hip fractures and subsequent morbidity in Taiwan : an 11-year population-based cohort study. In: PLoS ONE. 2018 ; Vol. 13, No. 2.
@article{05859933c0f24e8ca929fc04d1a14e6f,
title = "The incidence and factors of hip fractures and subsequent morbidity in Taiwan: an 11-year population-based cohort study",
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<0.001). The incidence of hip fractures in the low-income group showed no significant difference compared to that in the general population. There was a temporal trend of a 8.6{\%} increase in the incidence of all types of hip fractures over the period of 2000–2010. A summer-winter variation is observed among the elderly. Hip fractures and subsequent morbidity are increasing in Taiwan’s aging society. Older age, female gender, and time periods were independent risk factors for subsequent morbidities after surgical treatment. The result of this study is useful to the healthcare policy makers and to raise the public awareness of hip fractures.",
keywords = "hip fracture, Taiwan, Taiwanese elderly",
author = "Lin, {Kai Biao} and Yang, {Nan Ping} and Lee, {Yi Hui} and Chan, {Chien Lung} and Wu, {Chi Hsu} and Chen, {Hou Chuan} and Chang, {Nien Tzu}",
year = "2018",
month = "2",
day = "15",
doi = "10.1371/journal.pone.0192388",
language = "English",
volume = "13",
journal = "PLOS One",
issn = "1932-6203",
publisher = "Public Library of Science",
number = "2",

}

The incidence and factors of hip fractures and subsequent morbidity in Taiwan : an 11-year population-based cohort study. / Lin, Kai Biao; Yang, Nan Ping; Lee, Yi Hui; Chan, Chien Lung; Wu, Chi Hsu; Chen, Hou Chuan; Chang, Nien Tzu.

In: PLoS ONE, Vol. 13, No. 2, e0192388, 15.02.2018.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The incidence and factors of hip fractures and subsequent morbidity in Taiwan

T2 - PLOS One

AU - Lin, Kai Biao

AU - Yang, Nan Ping

AU - Lee, Yi Hui

AU - Chan, Chien Lung

AU - Wu, Chi Hsu

AU - Chen, Hou Chuan

AU - Chang, Nien Tzu

PY - 2018/2/15

Y1 - 2018/2/15

N2 - 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<0.001). The incidence of hip fractures in the low-income group showed no significant difference compared to that in the general population. There was a temporal trend of a 8.6% increase in the incidence of all types of hip fractures over the period of 2000–2010. A summer-winter variation is observed among the elderly. Hip fractures and subsequent morbidity are increasing in Taiwan’s aging society. Older age, female gender, and time periods were independent risk factors for subsequent morbidities after surgical treatment. The result of this study is useful to the healthcare policy makers and to raise the public awareness of hip fractures.

AB - 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<0.001). The incidence of hip fractures in the low-income group showed no significant difference compared to that in the general population. There was a temporal trend of a 8.6% increase in the incidence of all types of hip fractures over the period of 2000–2010. A summer-winter variation is observed among the elderly. Hip fractures and subsequent morbidity are increasing in Taiwan’s aging society. Older age, female gender, and time periods were independent risk factors for subsequent morbidities after surgical treatment. The result of this study is useful to the healthcare policy makers and to raise the public awareness of hip fractures.

KW - hip fracture

KW - Taiwan

KW - Taiwanese elderly

UR - http://www.scopus.com/inward/record.url?scp=85042193584&partnerID=8YFLogxK

U2 - 10.1371/journal.pone.0192388

DO - 10.1371/journal.pone.0192388

M3 - Article

VL - 13

JO - PLOS One

JF - PLOS One

SN - 1932-6203

IS - 2

M1 - e0192388

ER -