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Nested Case Control Study on the Risk of Suicide Death in Elderly Patients with Pelvic Fractures Using a Nationwide Cohort
DC Field | Value | Language |
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dc.contributor.author | 장석용 | - |
dc.date.accessioned | 2023-03-10T01:31:41Z | - |
dc.date.available | 2023-03-10T01:31:41Z | - |
dc.date.issued | 2022-09 | - |
dc.identifier.issn | 2005-291X | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/193205 | - |
dc.description.abstract | Background: The aim of this study was to investigate the incidence rate of suicide deaths in elderly patients with pelvic fractures using a nationwide database and to analyze change in the risk of suicide death overtime after pelvic fractures compared to controls. Methods: We used the National Health Insurance Service-Senior cohort (NHIS-Senior) of South Korea. Cases and controls were matched for sex, age, history of hospital admission within 1 year, and presence of depression on the date of suicide death. Controls were collected by random selection at a 1 : 5 ratio from patients at risk of becoming cases when suicide cases were collected. Incident pelvic fractures were identified from the NHIS-Senior as follows: first admission during the observational period (2002-2015) to an acute care hospital with a diagnostic code of International Statistical Classification of Diseases and Related Health Problems, 10th revision S321, S322, S323, S324, S325, or S328 and age 65-99 years. Conditional logistic regression analysis was performed to evaluate the association between pelvic fractures and the risk of suicide death. Results: A total of 2,863 suicide cases and 14,315 controls were identified. Suicide case patients had been more frequently exposed to steroids (odds ratio [OR], 1.32; 95% confidence interval [CI], 1.21-1.45), benzodiazepines (OR, 1.76; 95% CI, 1.61-1.93), and non-steroidal anti-inflammatory drugs (OR, 1.18; 95% CI, 1.07-1.29). Pelvic fractures within 1 year from the date of suicide death were statistically significantly associated with increased risk of suicide (adjusted OR [AOR], 2.65; 95% CI, 1.29-5.45; p = 0.008) compared to controls. The risk of suicide death declined as the incidence date of pelvic fracture was more remote from the date of suicide death: AORs of 2.59 (95% CI, 1.33-5.04; p = 0.005) within 2 years and 2.13 (95% CI, 1.15-3.95; p = 0.017) within 3 years. However, there was no statistical significance in the increased risk of suicide death for pelvic fractures that had occurred ≥ 4 years ago (p > 0.05). Conclusions: Pelvic fractures in the elderly population increased the risk of suicide death within 3 years, suggesting the need for psychiatric support among elderly patients with pelvic fractures. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Korean Orthopaedic Association | - |
dc.relation.isPartOf | CLINICS IN ORTHOPEDIC SURGERY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Aged, 80 and over | - |
dc.subject.MESH | Case-Control Studies | - |
dc.subject.MESH | Cohort Studies | - |
dc.subject.MESH | Fractures, Bone* / epidemiology | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Pelvic Bones* | - |
dc.subject.MESH | Suicide* / psychology | - |
dc.title | Nested Case Control Study on the Risk of Suicide Death in Elderly Patients with Pelvic Fractures Using a Nationwide Cohort | - |
dc.type | Article | - |
dc.contributor.college | Graduate School of Public Health (보건대학원) | - |
dc.contributor.department | Graduate School of Public Health (보건대학원) | - |
dc.contributor.googleauthor | Suk-Yong Jang | - |
dc.contributor.googleauthor | Yonghan Cha | - |
dc.contributor.googleauthor | Kap-Jung Kim | - |
dc.contributor.googleauthor | Ha-Yong Kim | - |
dc.contributor.googleauthor | Won-Sik Choy | - |
dc.contributor.googleauthor | Kyung-Hoi Koo | - |
dc.identifier.doi | 10.4055/cios21190 | - |
dc.contributor.localId | A03432 | - |
dc.relation.journalcode | J00620 | - |
dc.identifier.eissn | 2005-4408 | - |
dc.identifier.pmid | 36061852 | - |
dc.subject.keyword | Elderly | - |
dc.subject.keyword | Pelvic fracture | - |
dc.subject.keyword | Suicide death | - |
dc.contributor.alternativeName | Jang, Suk Yong | - |
dc.contributor.affiliatedAuthor | 장석용 | - |
dc.citation.volume | 14 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 344 | - |
dc.citation.endPage | 351 | - |
dc.identifier.bibliographicCitation | CLINICS IN ORTHOPEDIC SURGERY, Vol.14(3) : 344-351, 2022-09 | - |
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