Incidence of hip fractures during the COVID-19 pandemic in the Brazilian public health care system

Silva, Audrey Caetano da; Santos, Guilherme da Silva; Maluf, Eliane Mara Cesário Pereira; Borba, Victória Zeghbi Cochenski

doi:10.1007/s11657-022-01134-5

Cited by 3 publications

(7 citation statements)

References 8 publications

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“…13 On the other hand, this is different from what was reported in the United Kingdom and Spain, 9,10 where the incidence did not vary and was significantly greater than the 3% decrease reported in Brazil. 11 In our study, we demonstrated a direct and significant correlation with the country's mobility, which raises the question of whether the incidence of fractures really decreased due to confinement -lower accident rates -or whether there was a significant number of patients who were not hospitalized due to the saturation of the healthcare system or due to the fear of patients and their families to go to the hospital in the context of a pandemic. It should be noted that the DEIS registry only records hospital discharges and not consultations in emergency services, which prior to the pandemic is assumed to be anecdotal, however due to the collapse of the health system it could have occurred during 2020.…”

Section: Discussionmentioning

confidence: 60%

“…13 On the other hand, this is different from what was reported in the United Kingdom and Spain, 9 10 where the incidence did not vary and was significantly greater than the 3% decrease reported in Brazil. 11…”

Section: Discussionmentioning

confidence: 99%

“…Reports on the incidence of hip fracture-related emergency room visits vary, with some showing a decrease, 14 others remaining stable, 10 19 and even increases in the number of visits, as seen in a tertiary health center in Peru. 20 In a study conducted in Brazil, which used data from the public healthcare system, a decreased incidence of hip hospitalizations was observed compared to the pre-pandemic period, 11 but only by 3%. Similar to Chile, the Brazilian healthcare system collapsed, 4 especially the public system, which may result in underreporting of hospitalizations, similar to our study.…”

Section: Discussionmentioning

confidence: 99%

“…8 Studies published in other countries show that the incidence of hip fracture during the COVID-19 pandemic did not decrease -for example the United Kingdom and Spain -even in the most intense periods of mobility restriction, 9,10 however, in Brazil, the incidence of hip fracture decreased significantly during the pandemic by 3%. 11 The purpose of this work is to establish the incidence of hip fracture, epidemiology, length of hospital stay and surgical resolution rate in Chile during the first year of the pandemic-2020. Specifically, we seek to determine if there was an estimated incidence of hip fracture based on hospital discharges and if there were changes in the patients' age, gender, surgical resolution rate and hospital stay compared to 2019.…”

Section: Introductionmentioning

confidence: 99%

“…Studies published in other countries show that the incidence of hip fracture during the COVID-19 pandemic did not decrease - for example the United Kingdom and Spain - even in the most intense periods of mobility restriction, 9 10 however, in Brazil, the incidence of hip fracture decreased significantly during the pandemic by 3%. 11…”

Section: Introductionmentioning

confidence: 99%

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Fractura de cadera durante el primer año de pandemia en Chile

Barahona,

Medina,

Barahona

et al. 2023

Revista Chilena de Ortopedia y Traumatología

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Resumen Introducción La pandemia producida por el SARS-COV-2 generó menos cirugías traumatológicas a nivel universal. El propósito de este trabajo es determinar la incidencia de fractura de cadera, epidemiología, tiempo de estadía hospitalaria y tasa de resolución quirúrgica en Chile durante el primer año de pandemia. Material y Métodos Estudio transversal. Se analizó las bases de datos del Departamento de Estadística e Información en Salud (DEIS) de 2019 y 2020, identificando pacientes mayores a 60 años con egresos hospitalarios asociados a códigos de fractura de cadera. La incidencia de fractura de cadera fue calculada usando reportes del Instituto Nacional de Estadística (INE). Resultados La incidencia de fractura de cadera durante el 2020 fue un 14% menor a la incidencia del 2019, tuvo una correlación moderada con la movilidad del país y una relación inversa a los casos de COVID-19 acumulados mensualmente. La mediana del tiempo de duración de la hospitalización durante el 2020 fue de 8 días (rango intercuartílico, 5 a 14) , lo cual fue significativamente menor (p < 0.0001) que en 2019 (10 días, rango 6 a 16 intercuartílico). La tasa de resolución quirúrgica se mantiene por debajo del 80%. Conclusiones Las hospitalizaciones por fractura de cadera en Chile disminuyeron durante el primer año de pandemia. Hubo un descenso en la estadía hospitalaria significativo. Sin embargo, la tasa de resolución quirúrgica en fractura de cadera persiste baja.

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Section: Discussionmentioning

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Fractura de cadera durante el primer año de pandemia en Chile

Barahona,

Medina,

Barahona

et al. 2023

Revista Chilena de Ortopedia y Traumatología

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The process of hip fracture management before and during the COVID-19 pandemic in Iran

Yalamchi,

Khalagi,

Fahimfar

et al. 2024

BMC Geriatr

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Background The COVID-19 pandemic affected the control of many chronic conditions, including hip fractures, worldwide. This study was to examine the impact of the COVID-19 pandemic on the management of hip fractures in a referral orthopedic hospital in Iran. By understanding how the pandemic has influenced the care of hip fracture patients, we can gain valuable insights into the challenges, adaptations, and potential improvements in orthopedic healthcare during such public health crises. Methods Data was collected on hip fracture patients aged 50 and above who were admitted to the hospital before and during the pandemic. The number of admissions and operations, length of hospital stay, and time from admission to surgery were recorded from the hospital information system (HIS) and compared between the two periods. Results The median number of admitted hip fracture patients per month increased slightly during the pandemic (11%), although this increase was not statistically significant (p = 0.124). After adjusting for potential confounders, the mean length of hospital stay was significantly lower during the pandemic period, indicating that patients were discharged sooner (p = 0.019) and the time from admission to surgery was shorter during the pandemic (p = 0.004). Although the increase in the number of hip fracture surgeries per month during the pandemic was not statistically significant (P = 0.132), a higher percentage of patients underwent surgery during the pandemic compared to before (84.8% VS. 79.4%). Conclusion The study suggests that the COVID-19 pandemic did not have a negative impact on hip fracture management in the investigated orthopedic hospital in Iran. further research is needed to explore the effects of the pandemic on other aspects of healthcare services, particularly in general hospitals.

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