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首页> 外文期刊>Epidemiology Research International. >Determining the Incidence of Adult Fractures: How Accurate Are Emergency Department Data?
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Determining the Incidence of Adult Fractures: How Accurate Are Emergency Department Data?

机译：确定成人骨折的发病率：急诊科数据的准确性如何？

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Various research methods have been used to obtain skeletal fracture data and report the incidence of fractures. A large number of British studies have used data collected in emergency departments, and not data derived from orthopaedic units. We hypothesised that fracture data will differ depending upon the methodology employed to capture it. Two commonly used sources of fracture data at our institution were compared, (the Emergency Department (ED) database and the Orthopaedic Trauma Unit (OTU) database), using a cohort of adult patients from our defined population as the study sample. We performed univariate analyses to identify differences between groups with accurate and inaccurate ED fracture diagnoses. We then performed a binary logistic regression analysis to determine the best predictors of diagnostic accuracy. In one year, 7,449 patients were referred to the OTU. Three-quarters were referred with fractures. The overall false positive fracture referral rate was 25%. Several fracture subtypes were commonly overdiagnosed in the ED. Regression analysis showed that patient age, patient gender, and the seniority of the referring clinician were independently predictive of an accurate fracture diagnosis. We suggest that studies making use of ED fracture data may potentially overestimate the incidence of adult fractures.
机译：已经使用各种研究方法来获得骨骼骨折数据并报告骨折的发生率。大量的英国研究使用的是急诊科收集的数据，而不是骨科的数据。我们假设裂缝数据将取决于捕获它的方法而有所不同。比较了我们机构中两个常用的骨折数据来源（急诊科（ED）数据库和骨伤科单位（OTU）数据库），以我们既定人群中的成年患者为研究样本。我们进行了单变量分析，以鉴定具有准确和不正确的ED骨折诊断的组之间的差异。然后，我们执行了二进制逻辑回归分析，以确定诊断准确性的最佳预测指标。一年中，有7449名患者转诊到OTU。四分之三的人骨折。总体假阳性骨折转诊率为25％。急诊中通常会过度诊断出几种骨折亚型。回归分析显示，患者的年龄，患者的性别和推荐临床医生的年长都可以独立预测准确的骨折诊断。我们建议，利用ED骨折数据进行的研究可能会高估成人骨折的发生率。

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