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 pati… Show more
“…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).…”
Section: Resultssupporting
confidence: 84%
“…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.…”
Section: Discussionsupporting
confidence: 57%
“…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.…”
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.
“…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).…”
Section: Resultssupporting
confidence: 84%
“…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.…”
Section: Discussionsupporting
confidence: 57%
“…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.…”
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.
“…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 .…”
A osteoporose é uma síndrome multifatorial do esqueleto, sendo a fratura de fêmur a mais séria consequência para idosos, devido à alta mortalidade e ao custo. Este trabalho descreveu as fraturas osteoporóticas de fêmur em idosos para o Brasil, no triênio 2006-2008. A Autorização de Internação Hospitalar (AIH) foi utilizada como base secundária de dados e permitiu criar indicadores para fratura de fêmur em idosos. As proporções de idosos internados no Sistema Único de Saúde (SUS) por esta causa chegaram a 1%. Os percentuais de internação e óbitos foram maiores no sexo feminino e aumentaram com a idade. Os gastos foram de aproximadamente 2% dos gastos do SUS para pessoas com 60 anos ou mais. A maioria das internações durou de um a sete dias; 50,1% ocorreram em hospitais filantrópicos; e 42,7% aconteceram fora do município de residência. Os resultados reforçam a necessidade de maior atenção para a osteoporose e mostram a relevância dos gastos públicos com internações de idosos por fratura osteoporótica de fêmur. A compreensão de tais internações auxilia a formulação de políticas de saúde para esta causa.
“…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 .…”
Fraturas são o principal agravo relacionado à fragilidade óssea na pós-menopausa, representando aumento de risco de novas fraturas, mortalidade e custos. Nosso objetivo foi verificar a ocorrência de fratura vertebral por fragilidade e relacioná-la com fatores demográficos, comportamentais e clínicos em uma população brasileira. Foi feito um estudo transversal com seleção por amostragem aleatória estratificada de mulheres idosas residentes em Chapecó, Santa Catarina, Brasil. A amostra foi constituída por 186 mulheres brancas com idade acima de 60 anos. Destas, 48,9% tinham fraturas vertebrais assintomáticas, com maiores prevalências em T11-12 e L4-5. Na análise ajustada, observa-se que existe gradiente entre idade e fratura vertebral, chegando a ser 2,3 vezes maior a prevalência de fraturas entre as mulheres com idade superior a 80 anos. As sedentárias apresentaram prevalência de fratura 1,44 vez maior do que as não sedentárias. Devido à alta prevalência de fraturas vertebrais encontrada, sugerimos a realização de radiografia de coluna para mulheres idosas para rastreamento e prevenção de agravos.
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