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Impact of Sexual Dimorphism on Trauma Patterns and Clinical Outcomes of Patients with a High-Risk Score of the Osteoporosis Self-Assessment Tool for Asians: A Propensity Score-Matched Analysis

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  • Chien-En Tang

    (Department of Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 83301, Taiwan)

  • Hang-Tsung Liu

    (Department of Trauma Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 83301, Taiwan)

  • Pao-Jen Kuo

    (Department of Plastic Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 83301, Taiwan)

  • Yi-Chun Chen

    (Department of Plastic Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 83301, Taiwan)

  • Shiun-Yuan Hsu

    (Department of Plastic Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 83301, Taiwan)

  • Chih-Che Lin

    (Department of Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 83301, Taiwan
    These authors contributed equally to this paper.)

  • Ching-Hua Hsieh

    (Department of Plastic Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 83301, Taiwan
    These authors contributed equally to this paper.)

Abstract

The Osteoporosis Self-assessment Tool for Asians (OSTA) is a validated index based on age and weight to predict the risk of osteoporosis in women. This cross-sectional study was designed to evaluate the impact of sexual dimorphism on the trauma patterns and the clinical outcomes of patients with high-risk OSTA scores. Trauma data of patients with high-risk OSTA scores between 1 January 2009 and 31 December 2015 were retrieved from the trauma registry system of a level I trauma center. A total of 2248 patients including 1585 women and 663 men were included in this study. In-hospital mortality was assessed as the primary outcome in the propensity score-matched analyses of the female and male patients, which were created in a 1:1 ratio under the adjustment of potential confounders, including age, co-morbidity, mechanism and injury-severity score (ISS). Female patients with a high-risk OSTA score had significantly lower mortality rates than their male counterparts. Among the propensity score-matched population, female patients had lower odds of having cerebral contusion and pneumothorax, but higher odds of presenting with radial, ulnar and femoral fractures than male patients. In addition, the female patients still had significantly lower odds of mortality (odds ratio (OR), 0.5; 95% confidence interval (CI), 0.29–0.90; p = 0.019) than the male patients. However, no significant differences were noted in the length of stay (LOS) in hospital, intensive-care unit (ICU) admission, and LOS in the ICU between the sexes. Female patients with high-risk OSTA scores showed different injury patterns and significantly lower mortality rates than their male counterparts, even after controlling for potential confounding factors.

Suggested Citation

  • Chien-En Tang & Hang-Tsung Liu & Pao-Jen Kuo & Yi-Chun Chen & Shiun-Yuan Hsu & Chih-Che Lin & Ching-Hua Hsieh, 2018. "Impact of Sexual Dimorphism on Trauma Patterns and Clinical Outcomes of Patients with a High-Risk Score of the Osteoporosis Self-Assessment Tool for Asians: A Propensity Score-Matched Analysis," IJERPH, MDPI, vol. 15(3), pages 1-12, February.
  • Handle: RePEc:gam:jijerp:v:15:y:2018:i:3:p:418-:d:133802
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    References listed on IDEAS

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    1. Cheng-Shyuan Rau & Shao-Chun Wu & Pao-Jen Kuo & Yi-Chun Chen & Peng-Chen Chien & Hsiao-Yun Hsieh & Ching-Hua Hsieh, 2017. "Epidemiology of Bone Fracture in Female Trauma Patients Based on Risks of Osteoporosis Assessed using the Osteoporosis Self-Assessment Tool for Asians Score," IJERPH, MDPI, vol. 14(11), pages 1-15, November.
    2. Cheng-Shyuan Rau & Pao-Jen Kuo & Shao-Chun Wu & Yi-Chun Chen & Hsiao-Yun Hsieh & Ching-Hua Hsieh, 2016. "Association between the Osteoporosis Self-Assessment Tool for Asians Score and Mortality in Patients with Isolated Moderate and Severe Traumatic Brain Injury: A Propensity Score-Matched Analysis," IJERPH, MDPI, vol. 13(12), pages 1-14, December.
    3. Chien-Chang Chen & Cheng-Shyuan Rau & Shao-Chun Wu & Pao-Jen Kuo & Yi-Chun Chen & Hsiao-Yun Hsieh & Ching-Hua Hsieh, 2016. "Association of Osteoporosis Self-Assessment Tool for Asians (OSTA) Score with Clinical Presentation and Expenditure in Hospitalized Trauma Patients with Femoral Fractures," IJERPH, MDPI, vol. 13(10), pages 1-15, October.
    4. Cheng-Shyuan Rau & Shao-Chun Wu & Pao-Jen Kuo & Yi-Chun Chen & Peng-Chen Chien & Hsiao-Yun Hsieh & Ching-Hua Hsieh, 2017. "Same Abbreviated Injury Scale Values May Be Associated with Different Risks to Mortality in Trauma Patients: A Cross-Sectional Retrospective Study Based on the Trauma Registry System in a Level I Trau," IJERPH, MDPI, vol. 14(12), pages 1-12, December.
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    Cited by:

    1. Shiun-Yuan Hsu & Shao-Chun Wu & Cheng-Shyuan Rau & Ting-Min Hsieh & Hang-Tsung Liu & Chun-Ying Huang & Sheng-En Chou & Wei-Ti Su & Ching-Hua Hsieh, 2019. "Impact of Adapting the Abbreviated Injury Scale (AIS)-2005 from AIS-1998 on Injury Severity Scores and Clinical Outcome," IJERPH, MDPI, vol. 16(24), pages 1-10, December.
    2. Wei-Ti Su & Shao-Chun Wu & Chun-Ying Huang & Sheng-En Chou & Ching-Hua Tsai & Chi Li & Shiun-Yuan Hsu & Ching-Hua Hsieh, 2020. "Geriatric Nutritional Risk Index as a Screening Tool to Identify Patients with Malnutrition at a High Risk of In-Hospital Mortality among Elderly Patients with Femoral Fractures—A Retrospective Study ," IJERPH, MDPI, vol. 17(23), pages 1-9, November.

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