Epidemiology and socioeconomic consequences of work-related pelvic and acetabular fractures recorded in the German Social Accident Insurance.
Injury
; 54(8): 110848, 2023 Aug.
Article
em En
| MEDLINE
| ID: mdl-37258403
ABSTRACT
INTRODUCTION:
Pelvic and acetabular fractures can result from work-related accidents and frequently require lengthy medical treatments. Consequently, high medical costs as well as delayed or absent return to work can be the consequence. Therefore, we aimed to study the socioeconomic consequences of work-related pelvic and acetabular fractures. MATERIALS ANDMETHODS:
This retrospective study investigated work-related pelvic and acetabular fractures recorded in the German Social Accident Insurance in 2011 and 2017, in terms of age, sex, type of accident, duration of incapacity to work, reductions in earning capacity, costs for outpatient and inpatient treatment and costs for pension and severance pay.RESULTS:
Among a total of 606 injuries in 2011 and 619 injuries in 2017, male patients and patients between 40 and 65 years were predominantly affected. Acetabular fractures caused higher rates of long absence from work of 6-12 months (2011 24.7% vs. 9.5-16.9%; 2017 26.1% vs. 6.1-11.0%) and >12 months (2011 15.8% vs. 9.8-10.2%; 2017 13.3% vs. 1.9-8.2%) as well as more cases with a reduction in earning capacity of at least 20% (2011 61 vs. ≤27 cases; 2017 39 vs. ≤12 cases) compared to pelvic ring fractures. The total costs for pelvic ring and acetabular fractures in the German social accident insurances amounted 18,726,630 and 9637,189 in the periods 2011-2020 and 2017-2020, respectively. The average costs per case for treatment and rehabilitation until 2020 was 19,079 for injuries from 2011 and 13,629 for injuries from 2017. Acetabular fractures were found to be the most cost-intensive injuries compared to anterior, posterior or complex pelvic ring fractures.CONCLUSIONS:
Work-related pelvic and especially acetabular fractures have a considerable socioeconomic impact in the German Social Accident Insurance. Measures to prevent work-related accidents and to improve treatment of pelvic injuries can help to reduce their socioeconomic burden.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ossos Pélvicos
/
Fraturas da Coluna Vertebral
/
Fraturas Ósseas
/
Fraturas do Quadril
Tipo de estudo:
Observational_studies
/
Screening_studies
Aspecto:
Determinantes_sociais_saude
Limite:
Humans
/
Male
Idioma:
En
Revista:
Injury
Ano de publicação:
2023
Tipo de documento:
Article