INDICATORS OF MORBIDITY AND MORTALITY BY FEMUR FRACTURES IN OLDER PEOPLE: A DECADE-LONG STUDY IN BRAZILIAN HOSPITALS.

التفاصيل البيبلوغرافية
العنوان:	INDICATORS OF MORBIDITY AND MORTALITY BY FEMUR FRACTURES IN OLDER PEOPLE: A DECADE-LONG STUDY IN BRAZILIAN HOSPITALS.
المؤلفون:	Peterle VCU; Universidade de Brasília, Brasília, DF, Brazil., Geber JC; Hospital Alvorada Brasília, Medical Clinic Department, Brasília, DF, Brazil., Darwin W; Universidade de São Paulo, São Carlos School of Engineering, Department of Electrical and Computer Engineering, São Carlos, SP, Brazil., Lima AV; Instituto Brasileiro de Segurança de Trânsito, Brasília, DF, Brazil., Bezerra PE; Escola Superior de Ciências da Saúde, Brasília, DF, Brazil., Novaes MRCG; Universidade de Brasília, Brasília, DF, Brazil.
المصدر:	Acta ortopedica brasileira [Acta Ortop Bras] 2020 May-Jun; Vol. 28 (3), pp. 142-148.
نوع المنشور:	Journal Article
اللغة:	English
بيانات الدورية:	Publisher: Atha Comunicação e Editora Country of Publication: Brazil NLM ID: 9804509 Publication Model: Print Cited Medium: Print ISSN: 1413-7852 (Print) Linking ISSN: 14137852 NLM ISO Abbreviation: Acta Ortop Bras Subsets: PubMed not MEDLINE
أسماء مطبوعة:	Publication: Sao Paulo : Atha Comunicação e Editora Original Publication: Sao Paulo : Redprint Editora
مستخلص:	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 . Competing Interests: All authors declare no potential conflict of interest related to this article.
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فهرسة مساهمة:	Keywords: Aged/Mortality; Femur; Health Systems; Osteoporosis; Risk Factors Local Abstract: [Publisher, Portuguese] Avaliar o perfil das fraturas de fêmur em idosos no Brasil no período de 2008 a 2018. [Publisher, Portuguese] Estudo de série temporal baseado em dados do Departamento de Informática do Sistema Único de Saúde (Datasus), incluindo 480.652 internações de pessoas com idade a partir de 60 anos e com fratura de quadril (ICD10-S72). [Publisher, Portuguese] Houve aumento de 76,9% no registro de hospitalização (média de 5,87% por ano) e taxa de incidência média de 19,46 fraturas para cada 10 mil idosos. O estado de São Paulo respondeu por 28% do total de registros, e as internações de pacientes do sexo feminino corresponderam a 68% do total. O tempo médio de permanência foi de 8,9 dias, com maiores índices na Região Norte (11,8) e no Distrito Federal (18,7). A taxa média de mortalidade foi de 5% e atingiu os maiores valores entre os homens (5,45%) e os pacientes com mais de 80 anos. A região Nordeste apresentou a menor taxa de mortalidade (3,54%) e a região Sudeste teve a maior (5,53%). O custo total das internações foi de R$ 1,1 bilhão, com média de R$ 100 milhões ao ano. O custo médio por hospitalização foi maior na região Sul (R$ 2.491,00). [Publisher, Portuguese] A fratura do fêmur é importante causa de mortalidade em idosos, com maior incidência em mulheres e maior mortalidade em homens, alto custo para o sistema e diferenças regionais. Nível de Evidência II, Análises econômicas e de decisão - desenvolvimento de modelo econômico ou de decisão .
تواريخ الأحداث:	Date Created: 20200616 Latest Revision: 20240729
رمز التحديث:	20240729
مُعرف محوري في PubMed:	PMC7269140
DOI:	10.1590/1413-785220202803228393
PMID:	32536796
قاعدة البيانات:	MEDLINE

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تدمد:	1413-7852
DOI:	10.1590/1413-785220202803228393