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

Abstract

Objective: To evaluate the profile of femur fractures in older adults in Brazil between 2008 and 2018. Methods: Population-based time series study with data from the Department of Informatics of the Unified Health System (Datasus), including 480,652 hospitalizations, of adults from 60 years and over, with hip fracture (ICD10-S72). Results: There was an increase of 76.9% in the hospitalization register (mean 5.87%/year) and an average incidence rate of 19.46 fractures for every 10,000 older adults. In total, 68% of hospitalizations were female, 28% from São Paulo. The average length of stay was 8.9 days, being higher in the Northern Region (11.8) and in the Federal District (18.7). Average mortality rate was 5%, being higher in men (5.45%) and over 80 years old. Northeast Region had the lowest mortality rate (3.54%). Southeast Region had the highest rate (5.53%). Total cost of hospitalizations was R$ 1.1 billion, with an average of R$ 100 million/year. Average cost per hospitalization was higher in the Southern Region (R$ 2,491.00). Conclusion: Femoral fracture is an important cause of mortality among older adults, with a higher incidence in women but higher mortality in men, with high cost to the system and regional differences. Level of Evidence II, Economic and decision analyses - developing an economic or decision model.

Osteoporotic hip fracture—Comorbidities and factors associated with in-hospital mortality in the elderly: A nine-year cohort study in Brazil

“…A study on the length of hospital stay for the pathology in public hospitals in Brazil, in a 10-year historical analysis, considering 480,652 hospitalizations, confirms the longest mean length of hospital stay among Brazilian capitals, in the Federal District (18.7 days), the geographical region where the research was developed [64].…”

Fratura de fêmur em idosos no Piauí: um estudo retrospectivo de 2009 a 2019

“…No que diz respeito à taxa de letalidade relacionada às fraturas de fêmur em idosos, o Piauí apresentou um valor abaixo do nacional, apesar de ser superior ao da Região Nordeste (Tabela 2). Uma pesquisa realizada por Peterle VCU, et al (2020), revelou que o Nordeste foi a Região que apresentou a menor taxa de mortalidade por esse agravo.…”

Fatores Epidemiológicos E Custos De Hospitalização De Idosos Com Fratura Proximal De Fêmur Em Belém-Pa. / Epidemiological Factors and Costs of Hospitalization of Elderly People With Proximal Femur Fractures in Belém-Pa.

“…Por fim, foi demonstrado neste estudo, um relevante impacto econômico que o incidente supracitado gera para o sistema público de saúde, fato que é ratificado por outros trabalhos.15,16. Peterle et al, ao realizar um estudo epidemiológico em âmbito Nacional, constatou que, no período de 2008 a 2018, os gastos com fraturas proximais de fêmur no Brasil atingiram valores de 1,1 bilhão de reais, uma média de aproximadamente 100 milhões por ano 24. Além disso, Arlian et al refere que pacientes que sofrem fratura de fêmur apresentam custo três vezes maiores em relação a pacientes sem fratura, durante um ano, indicando que o maior impacto econômico pode ocorrer nos meses subsequentes à hospitalização inicial 25.…”