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

Autor:	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.
Jazyk:	angličtina
Zdroj:	Acta ortopedica brasileira [Acta Ortop Bras] 2020 May-Jun; Vol. 28 (3), pp. 142-148.
DOI:	10.1590/1413-785220202803228393
Abstrakt:	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.
Databáze:	MEDLINE
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