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

Abstract

Objectives: To evaluate the incidence and economic impact of femur fractures in the state of Paraná, Brazil. Methods: This descriptive study included men and women ≥ 60 years of age with hip fractures which were treated by the Public Health System in emergency care from January 2010 to December 2014. Data were collected from the DATASUS public health database using filters to select patients; results were presented descriptively and as proportions. The standardized incidence of femur fracture was calculated by sex and age for 10,000 inhabitants in Paraná state and in Brazil for the year 2012. Results: During the study period, 11,226 fractures were registered, 66.8% in women and 33.2% in men. There was a preponderance of fractures in Caucasians and in older age groups. Mortality during hospitalization was 5.9%, higher in males, in patients aged ≥80 years, and in Blacks and Asians. The total cost was R$ 29,393,442.78 and the average cost per hospitalization was R$ 2,618.34. The eastern region of the state had the highest rate of fractures, predominantly in the capital, Curitiba. The standardized incidence rate was higher in females and in the population of Paraná. Conclusion: Femur fractures have a high incidence rate in the elderly population of Paraná and a large economic impact.

Blood Orders and Predictors for Hemotransfusion in Elective Femur Fracture Repair Surgery

“…17,25 However, studies that excluded patients under the age of 60 obtained higher means. [19][20] A study conducted in China showed lower mean weight (58.83±11.01 kg) than that in the present study, which can be related to the physical characteristics of Chinese individuals. Cardiovascular disease, associated with mortality and rehospitalization rates, was the main comorbidity found in this and other similar studies.…”

“…The predominance of female patients submitted to femur fracture repair surgery observed in this study is corroborated by other recent studies. 12,[15][16][17][18][19][20] Osteoporosis, falls from standing height as a mechanism of injury, exposure to more house chores, greater prevalence of chronic disease, and more fragile physical structure make the female gender more susceptible to this type of fracture. [21][22][23][24] Regarding mean patient age, similar results have been found by studies that evaluated populations in the same age group as those in the present study.…”

Fraturas do fêmur em idosos do Nordeste do Brasil: dados epidemiológicos e gastos para o SUS

“…A razão masculino / feminino observada neste estudo de 1: 2,2 foi semelhante a de 1: 2,01 encontrada no Paraná, a de 1: 2,04 encontrada em Joinville e a de 1:1,7 encontrada em estudo similar no Brasil por completo e em Sobral no Ceará (Oliveira & Borba, 2017;Silva et al, 2019;Vasconcelos et al, 2020;Rocha & Ribeiro, 2004). Em pesquisa feita em Salvador na Bahia também foram encontradas proporções semelhantes, 1: 2,55 (Santana et al, 2015).…”

“…no Paraná e na cidade de Joinville, onde houve predomínio de fraturas na raça branca (64,6% e 96,7%, respectivamente) (Oliveira & Borba, 2017;Silva et al, 2019). A prevalência de brancos também foi vista no estudo mineiro (Rocha et al, 2001).…”

Indicators of Morbidity and Mortality by Femur Fractures in Older People: A Decade-Long Study in Brazilian Hospitals

“…However, the behavior of the three states is shown to be individual when associated with means of permanence and mortality rate. 18,19,20…”