Incidência de fratura do quadril em área urbana do Nordeste brasileiro

Abstract

Hip fractures involve high morbidity and mortality and extensive treatment costs and are thus considered an important public health issue. Hip fracture incidence varies greatly between countries and even between cities in the same region. This study aimed to determine hip fracture incidence in Fortaleza, Ceará State, Brazil. Hip fracture cases were identified prospectively in patients aged 45 and over attending private and public hospitals in Fortaleza from July 2001 to June 2002. The study identified 673 patients with hip fractures, 382 of whom from Fortaleza. Annual hip fracture incidence in Fortaleza for patients over 60 years was 21.7/10,000 inhabitants (13.0/10,000 for men and 27.7/10,000 for women). Hip fractures were more frequent among women and with advancing age. Hip fracture incidence in Fortaleza was very low compared to rates reported from other parts of the world.

Epidemiology of Femur Fractures in the Elderly and Cost to the State of Paraná, Brazil

“…The total standardized incidence rate (≥ 60 years) was higher in females and increased progressively with increasing age similar to that in other epidemiological studies. 3,11 The female and total rates in Paraná were superior to the national one, in agreement with the findings of Silveira et al, 11 who believed that the incidence of femur fracture in the elderly is higher in the southern region due to colder temperatures and lower incidence of sunlight, which favors osteoporosis. Taking this into account, we expected that the rate of fractures in Paraná (24º00'S, 51º00W) would be similar to that calculated for the same age group (≥ 60 years) in the city of Marília, São Paulo (50.03 / 10 thousand female inhabitants and 18.73 / 10 thousand male inhabitants) and to exceed Fortaleza's rates (27.5 / 10 thousand female inhabitants and 13/10 thousand male inhabitants); however, we obtained a rate similar to that of Fortaleza (03º 43' S, 38º 32' W)and well below that of Marília (22º 12'S, 49º 56' W).…”

“…The study presented results consistent with the literature regarding the higher incidence of fractures in females and in the higher age groups. 3,10,11 The male / female ratio observed of 1: 2.01 was similar to that in Sobral, Ceara (1:1.7), and lower than that in Recife, Pernambuco (1:3.02). Women are more likely to develop osteoporosis and, consequently, fractures as observed in the BRAZOS study.…”

“…Taking this into account, we expected that the rate of fractures in Paraná (24º00'S, 51º00W) would be similar to that calculated for the same age group (≥ 60 years) in the city of Marília, São Paulo (50.03 / 10 thousand female inhabitants and 18.73 / 10 thousand male inhabitants) and to exceed Fortaleza's rates (27.5 / 10 thousand female inhabitants and 13/10 thousand male inhabitants); however, we obtained a rate similar to that of Fortaleza (03º 43' S, 38º 32' W)and well below that of Marília (22º 12'S, 49º 56' W). 10,11 The fact that we did not capture patients covered by private care insurance could have interfered in the rate of our study. Also, this study was realized many years after Marília's study (1995), when the ratio of osteoporosis treatment was lower, which may have impacted the fracture rate.…”

O perfil das internações do SUS para fratura osteoporótica de fêmur em idosos no Brasil: uma descrição do triênio 2006-2008

“…Na Inglaterra e no País de Gales foram internados, no biênio 1997/1998, 66 mil idosos com fratura O aumento do percentual de fratura de fê-mur relacionado à faixa etária mais elevada e ao sexo feminino é condizente com a literatura 20,21 . Grande parte das fraturas de fêmur em idosos é secundária a quedas, mais comuns em faixas etárias mais avançadas, as quais apresentam maiores complicações de saúde 22 .…”

Prevalência de fraturas vertebrais e fatores de risco em mulheres com mais de 60 anos de idade na cidade de Chapecó, Santa Catarina, Brasil

“…Estudos realizados no Brasil mostram variações regionais, provavelmente explicadas pelas características de cada população, situação geográfica do território onde reside e fatores ambientais 11,13 . Nestes estudos, a prevalência de fraturas vertebrais variou entre 14,8% e 36,8% 7,14,15 ; a incidência de fraturas de quadril, entre 5,59 e 27,7/10.000 habitantes (sendo a maior taxa referente à população feminina) 13,16,17 .…”