Shoulder Dislocation Incidence and Risk Factors—Rural vs. Urban Populations of Poland
Abstract
:1. Introduction
2. Materials and Methods
2.1. Identification of the Test Groups
2.2. Population Data
2.3. Inclusion and Exclusion Criteria for the Test Group (Patients with Shoulder Dislocation)
2.3.1. Inclusion Criteria
- -
- Polish residents as verified by their territorial code;
- -
- One-off dislocations of the shoulder coded during the studied period;
- -
- Diagnoses performed in emergency rooms and coded according to the ICD-10 classification.
2.3.2. Exclusion Criteria
- -
- Shoulder dislocation diagnoses not coded in accordance with ICD-10;
- -
- Consecutive shoulder dislocations for the same patient, considered recurrences;
- -
- Patients not residing in Poland.
2.4. Determination of the Incidence and Risk Rates for Shoulder Dislocation
2.5. Statistical Analysis
3. Results
3.1. Analysis of the Number of Shoulder Dislocations
3.2. Incidence Rates in Urban and Rural Subgroups
3.3. Risk Assessment of Shoulder Dislocation Depending on the Place of Residence
3.4. Dislocation Risk in Rural vs. Urban Subgroups
3.5. Risk Assessment of Shoulder Dislocation Depending on Place of Residence and Sex
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Age Range (Years) | Group | Number of Events (n) | Population at Risk (n) | OR | 95%CI | p | |
---|---|---|---|---|---|---|---|
0–9 | entire group | 0–9 | 127 | 1,689,642 | 0.27 | 0.23–0.32 | <0.001 |
vs. others | 3837 | 13,572,608 | |||||
males | 0–9 | 51 | 867,073 | 0.16 | 0.12–0.21 | <0.001 | |
vs. others | 2551 | 6,742,570 | |||||
females | 0–9 | 76 | 822,569 | 0.49 | 0.39–0.62 | <0.001 | |
vs. others | 1286 | 6,830,038 | |||||
10–19 | entire group | 10–19 | 181 | 1,779,092 | 0.36 | 0.31–0.42 | <0.001 |
vs. others | 3783 | 13,483,158 | |||||
males | 10–19 | 149 | 914,493 | 0.44 | 0.37–0.52 | <0.001 | |
vs. others | 2453 | 6,695,150 | |||||
females | 10–19 | 32 | 864,599 | 0.19 | 0.13–0.27 | <0.001 | |
vs. others | 1330 | 6,788,008 | |||||
20–29 | entire group | 20–29 | 554 | 2,324,794 | 0.9 | 0.82–0.98 | 0.028 |
vs. others | 3410 | 12,937,456 | |||||
males | 20–29 | 505 | 1,199,937 | 1.29 | 1.17–1.42 | <0.001 | |
vs. others | 2097 | 6,409,706 | |||||
females | 20–29 | 49 | 1,124,857 | 0.22 | 0.17–0.29 | <0.001 | |
vs. others | 1313 | 6,527,750 | |||||
30–39 | entire group | 30–39 | 415 | 2,373,672 | 0.63 | 0.57–0.7 | <0.001 |
vs. others | 3549 | 12,888,578 | |||||
males | 30–39 | 350 | 1,225,090 | 0.81 | 0.72–0.91 | <0.001 | |
vs. others | 2252 | 6,384,553 | |||||
females | 30–39 | 65 | 1,148,582 | 0.28 | 0.22–0.36 | <0.001 | |
vs. others | 1297 | 6,504,025 | |||||
40–49 | entire group | 40–49 | 418 | 2,038,318 | 0.76 | 0.69–0.84 | <0.001 |
vs. others | 3546 | 13,223,932 | |||||
males | 40–49 | 314 | 1,053,778 | 0.85 | 0.76–0.96 | 0.009 | |
vs. others | 2288 | 6,555,865 | |||||
females | 40–49 | 104 | 984,540 | 0.56 | 0.46–0.68 | <0.001 | |
vs. others | 1258 | 6,668,067 | |||||
50–59 | entire group | 50–59 | 665 | 2,068,286 | 1.29 | 1.19–1.4 | <0.001 |
vs. others | 3299 | 13,193,964 | |||||
males | 50–59 | 502 | 1,076,546 | 1.45 | 1.32–1.6 | <0.001 | |
vs. others | 2100 | 6,533,097 | |||||
females | 50–59 | 163 | 991,740 | 0.91 | 0.77–1.07 | 0.276 | |
vs. others | 1199 | 6,660,867 | |||||
60–69 | entire group | 60–69 | 746 | 1,556,547 | 2.04 | 1.88–2.21 | <0.001 |
vs. others | 3218 | 13,705,703 | |||||
males | 60–69 | 474 | 756,785 | 2.02 | 1.83–2.23 | <0.001 | |
vs. others | 2128 | 6,852,858 | |||||
females | 60–69 | 272 | 799,762 | 2.14 | 1.87–2.44 | <0.001 | |
vs. others | 1090 | 6,852,845 | |||||
70–79 | entire group | 70–79 | 527 | 839,820 | 2.63 | 2.4–2.88 | <0.001 |
vs. others | 3437 | 14,422,430 | |||||
males | 70–79 | 188 | 337,209 | 1.68 | 1.45–1.95 | <0.001 | |
vs. others | 2414 | 7,272,434 | |||||
females | 70–79 | 339 | 502,611 | 4.71 | 4.17–5.33 | <0.001 | |
vs. others | 1023 | 7,149,996 | |||||
80+ | entire group | 80+ | 331 | 588,115 | 2.27 | 2.03–2.54 | <0.001 |
vs. others | 3633 | 14,674,135 | |||||
males | 80+ | 69 | 176,130 | 1.15 | 0.91–1.46 | 0.253 | |
vs. others | 2533 | 7,433,513 | |||||
females | 80+ | 262 | 411,985 | 4.19 | 3.66–4.79 | <0.001 | |
vs. others | 1100 | 7,240,622 |
Age Range | Group | Number of Events (n) | Population at Risk (n) | OR | 95%CI | p | |
---|---|---|---|---|---|---|---|
0–9 | entire group | 0–9 | 19 | 2,267,722 | 0.03 | 0.02–0.05 | <0.001 |
vs. others | 5929 | 20,948,630 | |||||
males | 0–9 | 14 | 1,164,278 | 0.03 | 0.02–0.05 | <0.001 | |
vs. others | 3731 | 9,845,888 | |||||
females | 0–9 | 5 | 1,103,444 | 0.02 | 0.01–0.05 | <0.001 | |
vs. others | 2198 | 11,102,742 | |||||
10–19 | entire group | 10–19 | 238 | 2,065,627 | 0.43 | 0.38–0.49 | <0.001 |
vs. others | 5710 | 21,150,725 | |||||
males | 10–19 | 178 | 1,055,945 | 0.47 | 0.4–0.55 | <0.001 | |
vs. others | 3567 | 9,954,221 | |||||
females | 10–19 | 60 | 1,009,682 | 0.31 | 0.24–0.4 | <0.001 | |
vs. others | 2143 | 11,196,504 | |||||
20–29 | entire group | 20–29 | 897 | 3,125,132 | 1.14 | 1.06–1.22 | <0.001 |
vs. others | 5051 | 20,091,220 | |||||
males | 20–29 | 782 | 1,573,032 | 1.58 | 1.46–1.71 | <0.001 | |
vs. others | 2963 | 9,437,134 | |||||
females | 20–29 | 115 | 1,552,100 | 0.38 | 0.31–0.46 | <0.001 | |
vs. others | 2088 | 10,654,086 | |||||
30–39 | entire group | 30–39 | 779 | 3,939,605 | 0.74 | 0.69–0.8 | <0.001 |
vs. others | 5169 | 19,276,747 | |||||
males | 30–39 | 654 | 1,973,040 | 0.97 | 0.89–1.06 | 0.466 | |
vs. others | 3091 | 9,037,126 | |||||
females | 30–39 | 125 | 1,966,565 | 0.31 | 0.26–0.37 | <0.001 | |
vs. others | 2078 | 10,239,621 | |||||
40–49 | entire group | 40–49 | 604 | 2,916,665 | 0.79 | 0.73–0.86 | <0.001 |
vs. others | 5344 | 20,299,687 | |||||
males | 40–49 | 457 | 1,438,641 | 0.92 | 0.83–1.01 | 0.117 | |
vs. others | 3288 | 9,571,525 | |||||
females | 40–49 | 147 | 1,478,024 | 0.52 | 0.44–0.61 | <0.001 | |
vs. others | 2056 | 10,728,162 | |||||
50–59 | entire group | 50–59 | 874 | 3,336,495 | 1.03 | 0.96–1.11 | 0.478 |
vs. others | 5074 | 19,879,857 | |||||
males | 50–59 | 603 | 1,557,639 | 1.16 | 1.06–1.27 | 0.001 | |
vs. others | 3142 | 9,452,527 | |||||
females | 50–59 | 271 | 1,778,856 | 0.82 | 0.72–0.93 | 0.003 | |
vs. others | 1932 | 10,427,330 | |||||
60–69 | entire group | 60–69 | 1100 | 3,084,428 | 1.48 | 1.39–1.58 | <0.001 |
vs. others | 4848 | 20,131,924 | |||||
males | 60–69 | 623 | 1,358,551 | 1.42 | 1.3–1.55 | <0.001 | |
vs. others | 3122 | 9,651,615 | |||||
females | 60–69 | 477 | 1,725,877 | 1.68 | 1.52–1.86 | <0.001 | |
vs. others | 1726 | 10,480,309 | |||||
70–79 | entire group | 70–79 | 829 | 1,534,788 | 2.29 | 2.13–2.46 | <0.001 |
vs. others | 5119 | 21,681,564 | |||||
males | 70–79 | 314 | 594,457 | 1.6 | 1.43–1.80 | <0.001 | |
vs. others | 3431 | 10,415,709 | |||||
females | 70–79 | 515 | 940,331 | 3.66 | 3.32–4.04 | <0.001 | |
vs. others | 1688 | 11,265,855 | |||||
80+ | entire group | 80+ | 608 | 939,942 | 2.7 | 2.48–2.94 | <0.001 |
vs. others | 5340 | 22,276,410 | |||||
males | 80+ | 120 | 290,838 | 1.22 | 1.02–1.46 | 0.032 | |
vs. others | 3625 | 10,719,328 | |||||
females | 80+ | 488 | 649,104 | 5.07 | 4.58–5.61 | <0.001 | |
vs. others | 1715 | 11,557,082 |
Age Range (Years) | Group | Number of Events (n) | Population at Risk (n) | OR | 95% CI | p | |
---|---|---|---|---|---|---|---|
0–9 | entire group | rural | 127 | 1,689,642 | 8.97 | 5.54–14.53 | <0.001 |
vs. urban | 19 | 2,267,722 | |||||
males | rural | 51 | 867,073 | 4.89 | 2.71–8.83 | <0.001 | |
vs. urban | 14 | 1,164,278 | |||||
females | rural | 76 | 822,569 | 20.39 | 8.25–50.4 | <0.001 | |
vs. urban | 5 | 1,103,444 | |||||
10–19 | entire group | rural | 181 | 1,779,092 | 0.88 | 0.73–1.07 | 0.207 |
vs. urban | 238 | 2,065,627 | |||||
males | rural | 149 | 914,493 | 0.97 | 0.78–1.21 | 0.759 | |
vs. urban | 178 | 1,055,945 | |||||
females | rural | 32 | 864,599 | 0.62 | 0.4–0.95 | 0.029 | |
vs. urban | 60 | 1,009,682 | |||||
20–29 | entire group | rural | 554 | 2,324,794 | 0.83 | 0.75–0.92 | 0.001 |
vs. urban | 897 | 3,125,132 | |||||
males | rural | 505 | 1,199,937 | 0.85 | 0.76–0.95 | 0.003 | |
vs. urban | 782 | 1,573,032 | |||||
females | rural | 49 | 1,124,857 | 0.59 | 0.42–0.82 | 0.002 | |
vs. urban | 115 | 1,552,100 | |||||
30–39 | entire group | rural | 415 | 2,373,672 | 0.88 | 0.78–0.99 | 0.043 |
vs. urban | 779 | 3,939,605 | |||||
males | rural | 350 | 1,225,090 | 0.86 | 0.76–0.98 | 0.025 | |
vs. urban | 654 | 1,973,040 | |||||
females | rural | 65 | 1,148,582 | 0.89 | 0.66–1.2 | 0.447 | |
vs. urban | 125 | 1,966,565 | |||||
40–49 | entire group | rural | 418 | 2,038,318 | 0.99 | 0.87–1.12 | 0.878 |
vs. urban | 604 | 2,916,665 | |||||
males | rural | 314 | 1,053,778 | 0.94 | 0.81–1.09 | 0.383 | |
vs. urban | 457 | 1,438,641 | |||||
females | rural | 104 | 984,540 | 1.06 | 0.82–1.36 | 0.638 | |
vs. urban | 147 | 1,478,024 | |||||
50–59 | entire group | rural | 665 | 2,068,286 | 1.23 | 1.11–1.36 | <0.001 |
vs. urban | 874 | 3,336,495 | |||||
males | rural | 502 | 1,076,546 | 1.2 | 1.07–1.35 | 0.002 | |
vs. urban | 603 | 1,557,639 | |||||
females | rural | 163 | 991,740 | 1.08 | 0.89–1.31 | 0.444 | |
vs. urban | 271 | 1,778,856 | |||||
60–69 | entire group | rural | 746 | 1,556,547 | 1.34 | 1.22–1.47 | <0.001 |
vs. urban | 1100 | 3,084,428 | |||||
males | rural | 474 | 756,785 | 1.37 | 1.22–1.54 | <0.001 | |
vs. urban | 623 | 1,358,551 | |||||
females | rural | 272 | 799,762 | 1.23 | 1.06–1.43 | 0.006 | |
vs. urban | 477 | 1,725,877 | |||||
70–79 | entire group | rural | 527 | 839,820 | 1.16 | 1.04–1.29 | 0.007 |
vs. urban | 829 | 1,534,788 | |||||
males | rural | 188 | 337,209 | 1.06 | 0.88–1.27 | 0.558 | |
vs. urban | 314 | 594,457 | |||||
females | rural | 339 | 502,611 | 1.23 | 1.07–1.41 | 0.003 | |
vs. urban | 515 | 940,331 | |||||
80+ | entire group | rural | 331 | 588,115 | 0.87 | 0.76–0.99 | 0.042 |
vs. urban | 608 | 939,942 | |||||
males | rural | 69 | 176,130 | 0.95 | 0.71–1.28 | 0.732 | |
vs. urban | 120 | 290,838 | |||||
females | rural | 262 | 411,985 | 0.85 | 0.73–0.99 | 0.029 | |
vs. urban | 488 | 649,104 |
Age Range | Group | Number of Events (n) | Population at Risk (n) | OR | 95% CI | p | |
---|---|---|---|---|---|---|---|
0–9 | rural | male | 56 | 864,483 | 0.68 | 0.48–0.96 | 0.027 |
vs. female | 78 | 819,910 | |||||
urban | male | 13 | 1,148,952 | 1.76 | 0.7–4.41 | 0.221 | |
vs. female | 7 | 1,090,347 | |||||
entire group | male | 69 | 2,013,435 | 0.77 | 0.56–1.06 | 0.106 | |
vs. female | 85 | 1,910,257 | |||||
10–19 | rural | male | 145 | 975,900 | 2.7 | 1.96–3.71 | <0.001 |
vs. female | 51 | 925,608 | |||||
urban | male | 213 | 1,118,561 | 3.09 | 2.34–4.07 | <0.001 | |
vs. female | 66 | 1,070,886 | |||||
entire group | male | 358 | 2,094,461 | 2.92 | 2.37–3.6 | <0.001 | |
vs. female | 117 | 1,996,494 | |||||
20–29 | rural | male | 503 | 1,234,219 | 7.02 | 5.44–9.06 | <0.001 |
vs. female | 67 | 1,154,346 | |||||
urban | male | 923 | 1,741,559 | 7.8 | 6.44–9.45 | <0.001 | |
vs. female | 117 | 1,722,461 | |||||
entire group | male | 1426 | 2,975,778 | 7.49 | 6.42–8.73 | <0.001 | |
vs. female | 184 | 2,876,807 | |||||
30–39 | rural | male | 368 | 1,193,176 | 4.66 | 3.63–5.98 | <0.001 |
vs. female | 74 | 1,117,146 | |||||
urban | male | 675 | 1,908,931 | 4.23 | 3.56–5.03 | <0.001 | |
vs. female | 159 | 1,902,980 | |||||
entire group | male | 1043 | 3,102,107 | 4.36 | 3.78–5.03 | <0.001 | |
vs. female | 233 | 3,020,126 | |||||
40–49 | rural | male | 355 | 1,034,686 | 3.69 | 2.92–4.66 | <0.001 |
vs. female | 89 | 956,002 | |||||
urban | male | 462 | 1,396,554 | 3.22 | 2.68–3.87 | <0.001 | |
vs. female | 149 | 1,450,139 | |||||
entire group | male | 817 | 2,431,240 | 3.4 | 2.94–3.93 | <0.001 | |
vs. female | 238 | 2,406,141 | |||||
50–59 | rural | male | 484 | 1,084,301 | 2.47 | 2.08–2.93 | <0.001 |
vs. female | 180 | 994,117 | |||||
urban | male | 664 | 1,663,738 | 2.35 | 2.06–2.68 | <0.001 | |
vs. female | 325 | 1,912,842 | |||||
entire group | male | 1148 | 2,748,039 | 2.4 | 2.16–2.66 | <0.001 | |
vs. female | 505 | 2,906,959 | |||||
60–69 | rural | male | 420 | 667,589 | 2.01 | 1.71–2.36 | <0.001 |
vs. female | 226 | 723,161 | |||||
urban | male | 614 | 1,226,637 | 1.65 | 1.46–1.86 | <0.001 | |
vs. female | 470 | 1,552,089 | |||||
entire group | male | 1034 | 1,894,226 | 1.78 | 1.62–1.96 | <0.001 | |
vs. female | 696 | 2,275,250 | |||||
70–79 | rural | male | 180 | 350,294 | 0.81 | 0.68–0.97 | 0.019 |
vs. female | 337 | 528,443 | |||||
urban | male | 270 | 596,787 | 0.8 | 0.69–0.93 | 0.003 | |
vs. female | 539 | 953,862 | |||||
entire group | male | 450 | 947,081 | 0.8 | 0.71–0.9 | <0.001 | |
vs. female | 876 | 1,482,305 | |||||
80+ | rural | male | 70 | 169,716 | 0.63 | 0.48–0.82 | <0.001 |
vs. female | 263 | 399,864 | |||||
urban | male | 120 | 266,716 | 0.62 | 0.51–0.76 | <0.001 | |
vs. female | 442 | 606,123 | |||||
entire group | male | 190 | 436,432 | 0.62 | 0.53–0.73 | <0.001 | |
vs. female | 705 | 1,005,987 |
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Szyluk, K.; Niemiec, P.; Sieroń, D.; Lukoszek, D.; Gierek, M.; Lorek, A.; Christe, A. Shoulder Dislocation Incidence and Risk Factors—Rural vs. Urban Populations of Poland. Int. J. Environ. Res. Public Health 2022, 19, 11857. https://doi.org/10.3390/ijerph191911857
Szyluk K, Niemiec P, Sieroń D, Lukoszek D, Gierek M, Lorek A, Christe A. Shoulder Dislocation Incidence and Risk Factors—Rural vs. Urban Populations of Poland. International Journal of Environmental Research and Public Health. 2022; 19(19):11857. https://doi.org/10.3390/ijerph191911857
Chicago/Turabian StyleSzyluk, Karol, Paweł Niemiec, Dominik Sieroń, Dawid Lukoszek, Marcin Gierek, Andrzej Lorek, and Andreas Christe. 2022. "Shoulder Dislocation Incidence and Risk Factors—Rural vs. Urban Populations of Poland" International Journal of Environmental Research and Public Health 19, no. 19: 11857. https://doi.org/10.3390/ijerph191911857