Accident pension after fracture of the pelvic ring and acetabulum. Changes in pension claims and costs following isolated fractures of the pelvic ring and acetabulum in work-related accidents from 2013 to 2019-A DGUV registry analysis

被引：0

作者：

Hinz, Nico ^{[1
]}

Dehoust, Julius ^{[1
]}

Mangelsdorf, Stefan ^{[2
]}

Schulz, Arndt-Peter ^{[3
]}

Frosch, Karl-Heinz ^{[1
,4
]}

Hartel, Maximilian J. ^{[1
,4
]}

机构：

[1] BG Klin Hamburg, Abt Unfallchirurg Orthopadie & Sporttraumatol, Bergedorfer Str 10, D-21033 Hamburg, Germany

[2] Hsch Deutsch Gesetzlichen Unfallversicherung HGU, Bad Hersfeld, Germany

[3] Zentrum Klin Forsch, BG Klinikum Hamburg, Hamburg, Germany

[4] Univ Klin Hamburg Eppendorf, Klin & Poliklin Unfallchirurg & Orthopadie, Hamburg, Germany

来源：

UNFALLCHIRURGIE | 2025年 / 128卷 / 02期

关键词：

Indirect costs; German Social Accident Insurance; Work-related injury; Reduction in earning capacity; Pension costs; FIXATION; IMPACT; RETURN; DISABILITY;

D O I：

10.1007/s00113-024-01516-z

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Background It is known that fractures of the pelvic ring and acetabulum in work-related accidents are associated with long periods of incapacity to work, a high rate of reduction in earning capacity (MdE) and high costs for pension/severance pay. Objective Investigation of changes in pension claims and costs from 2013 to 2019 after isolated fractures of the pelvic ring and acetabulum in work-related accidents in Germany. Material and methods For all patients from the German Social Accident Insurance (DGUV) registry with isolated fractures of the pelvic ring or acetabulum in work-related accidents, linear trend analyses were carried out among others for the proportion of MdE >= 20%, the proportion of cases receiving pension/severance pay and total costs for pension/severance pay from 2013 to 2019. A logistic regression analysis for the likelihood of receiving a pension was also performed. Results The proportion of MdE >= 20% decreased for fractures of the pelvic ring and acetabulum in total from 14.3% for 2013 to 8.2% for 2019 and there was a decreasing trend for the proportion of cases receiving pension/severance pay for fractures of the pelvic ring and acetabulum in total from 23.1% for 2013 to 13.6% for 2019 as well as for both fracture types individually. There was also a decrease in the costs for pensions/severance pay for fractures of the pelvic ring and acetabulum in total from <euro> 1,542,531 for 2013 to <euro> 1,006,887 for 2019. The likelihood of receiving a pension decreased by 8% per subsequent accident year between 2013 and 2019. Conclusion The proportion of pension claims and thus the costs for pensions/severance pay decreased for isolated fractures of the pelvic ring and acetabulum in work-related accidents from 2013 to 2019. The DGUV seems to fulfil its guideline Rehabilitation before pension.

引用

页码：109 / 116

页数：8