• Injury · Jul 2019

    The role of sociodemographics in the occurrence of orthopaedic trauma.

    • Elizabeth Sheridan, Jessica M Wiseman, Azeem Tariq Malik, Xueliang Pan, Carmen E Quatman, Heena P Santry, and Laura S Phieffer.
    • Department of Orthopaedics, The Ohio State University Wexner Medical Center, United States.
    • Injury. 2019 Jul 1; 50 (7): 128812921288-1292.

    IntroductionWe sought to determine the effects of sociodemographic factors on the occurrence of orthopaedic injuries in an adult population presenting to a level 1 trauma center.Materials And MethodsWe conducted a retrospective chart review of patients who received orthopaedic trauma care at a level 1 academic trauma center.Results20,919 orthopaedic trauma injury cases were treated at an academic level 1 trauma center between 01 January 1993 and 27 August 2017. Following application of inclusion/exclusion criteria, a total of 14,654 patients were retrieved for analysis. Out of 14,654 patients, 4602 (31.4%) belonged to low socioeconomic status (SES), 4961 (32.0%) to middle SES and 5361 (36.6%) to high SES. Following adjustment for age, sex, race, insurance status and injury severity score (ISS), patients belonging to middle SES vs. low SES (OR 0.77 [95% CI 0.63-0.94]; p = 0.009) or high SES vs. low SES (OR 0.77 [95% CI 0.62-0.95]; p = 0.016) had lower odds of receiving a penetrating injury as compared to a blunt injury.ConclusionThe results from this study indicate that a link exists between sociodemographic factors and the occurrence of orthopaedic injuries presenting to a level 1 trauma center. The most common cause of injury varied within age groups, by sex, and within the different socioeconomic groups.Copyright © 2019 Elsevier Ltd. All rights reserved.

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