For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
5
views
20
references
 Top references
cited by
2
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
1 collections
    0
    shares
      535
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Caracterización epidemiológica de la fractura de cadera Translated title: Epidemiological characterization of hip fracture

      research-article

      Read this article at

      SciELO
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          RESUMEN Introducción: la fractura de cadera es un problema para el sistema de salud cubano para el que se destinan cuantiosos recursos por parte del estado; el envejecimiento poblacional que aqueja a la sociedad propicia un crecimiento y un encarecimiento aún mayor. Objetivo: evaluar el comportamiento epidemiológico de la fractura de cadera en la región noroeste de la Provincia de Villa Clara en el año 2018. Métodos: se realizó un estudio descriptivo de corte transversal de tipo epidemiológico y sociodemográfico de todos los pacientes que acudieron al Hospital “Mártires del 9 de Abril” de Sagua la Grande con fractura de cadera entre el primero de enero y el 31 de diciembre de 2018. Resultados: se produjeron un total de 119 fracturas de cadera, con un predominio del sexo femenino de 2:1, una media de edades de 80,8 años y una moda de 91 años, la mayoría mayores de 70 años, predominaron las fracturas intertrocantéricas y el lado izquierdo. Las tasas de incidencia por municipios y global muestran resultados elevados comparables con países altamente desarrollados. Conclusiones: la fractura de cadera en la región noroeste de Villa Clara constituye un serio y preocupante problema de salud en el que se impone la participación de todos los factores de la sociedad con el fin de minimizar el impacto negativo que desempeña esta enfermedad.

          Translated abstract

          ABSTRACT Introduction: hip fracture is a problem for the Cuban health system for which large resources are allocated by the state; the aging population that afflicts society promotes growth and an even greater cost. Objective: to evaluate the epidemiological behavior of the hip fracture in the northwestern region of the Province of Villa Clara in 2018. Methods: a descriptive cross-sectional study of epidemiological and sociodemographic type of all patients who went to the Hospital “Martires del 9 de Abril” of Sagua la Grande with hip fracture was carried out between January 1 and December 31, 2018. Results: a total of 119 hip fractures occurred, with a female predominance of 2: 1, an average age of 80.8 years and a fashion of 91 years, the majority over 70 years, inter-trochanteric fractures and the left side predominated. The incidence rates by municipalities and global show high results comparable with highly developed countries. Conclusions: the hip fracture in the northwest region of Villa Clara constitutes a serious and worrying health problem in which the participation of all the factors of society is necessary in order to minimize the negative impact that this disease plays.

          Related collections

          Most cited references20

          • Record: found
          • Abstract: found
          • Article: found
          Is Open Access

          Epidemiology of hip fracture: Worldwide geographic variation

          Dinesh K. Dhanwal, Elaine Dennison, Nick C Harvey … (2011)
          Osteoporosis is a major health problem, especially in elderly populations, and is associated with fragility fractures at the hip, spine, and wrist. Hip fracture contributes to both morbidity and mortality in the elderly. The demographics of world populations are set to change, with more elderly living in developing countries, and it has been estimated that by 2050 half of hip fractures will occur in Asia. This review conducted using the PubMed database describes the incidence of hip fracture in different regions of the world and discusses the possible causes of this wide geographic variation. The analysis of data from different studies show a wide geographic variation across the world, with higher hip fracture incidence reported from industrialized countries as compared to developing countries. The highest hip fracture rates are seen in North Europe and the US and lowest in Latin America and Africa. Asian countries such as Kuwait, Iran, China, and Hong Kong show intermediate hip fracture rates. There is also a north–south gradient seen in European studies, and more fractures are seen in the north of the US than in the south. The factors responsible of this variation are population demographics (with more elderly living in countries with higher incidence rates) and the influence of ethnicity, latitude, and environmental factors. The understanding of this changing geographic variation will help policy makers to develop strategies to reduce the burden of hip fractures in developing countries such as India, which will face the brunt of this problem over the coming decades.
          Article 0 comments Cited 102 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: found
            Is Open Access

            Orthogeriatric co-management improves the outcome of long-term care residents with fragility fractures

            M Gosch, Y. Hoffmann-Weltin, T Roth … (2016)
            Background Fragility fractures are a major health care problem worldwide. Both hip and non-hip fractures are associated with excess mortality in the years following the fracture. Residents of long-term nursing homes represent a special high-risk group for poor outcomes. Orthogeriatric co-management models of care have shown in multiple studies to have medical as well as economic advantages, but their impact on this high-risk group has not been well studied. Objective We studied the outcome of long-term care residents with hip and non-hip fractures admitted to a geriatric fracture center. Methods The study design is a single center, prospective cohort study at a level-I trauma center in Austria running a geriatric fracture center. The cohort included all fragility fracture patients aged over 70 admitted from a long-term care residence from May 2009 to November 2011. The data set consisted of 265 patients; the mean age was 86.8 ± 6.7 years, and 80 % were female. The mean follow-up after the index fracture was 789 days, with a range from 1 to 1842 days. Basic clinical and demographic data were collected at hospital admission. Functional status and mobility were assessed during follow-up at 3, 6, and 12 months. Additional outcome data regarding readmissions for new fractures were obtained from the hospital information database; mortality was crosschecked with the death registry from the governmental institute of epidemiology. Results 187 (70.6 %) patients died during the follow-up period, with 78 patients (29.4 %) dying in the first year. The mean life expectancy after the index fracture was 527 (±431) days. Differences in mortality rates between hip and non-hip fracture patients were not statistically significant. Compared to reported mortality rates in the literature, hip fracture patients in this orthogeriatric-comanaged cohort had a significantly reduced one-year mortality [OR of 0.57 (95 % CI 0.31–0.85)]. After adjustment for confounders, only older age (OR 1.091; p = 0.013; CI 1.019–1.169) and a lower Parker Mobility Scale (PMS) (OR 0.737; p = 0.022; CI 0.568–0.957) remained as independent predictors. During follow-up, 62 patients (23.4 %) sustained at least one subsequent fracture, and 10 patients (3.4 %) experienced multiple fractures; 29 patients (10.9 %) experienced an additional fracture within the first year. Nearly, half (47.1 %) regained their pre-fracture mobility based on the PMS. Conclusion Despite the generally poor outcomes for fragility fracture patients residing in long-term care facilities, orthogeriatric co-management appears to improve the outcome of high-risk fragility fracture patients. One-year mortality was 29.4 % in this cohort, significantly lower than in comparable trials. Orthogeriatric co-management may also have positive impacts on both functional outcome and the risk of subsequent fractures.
            Article 0 comments Cited 27 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: found
              Is Open Access

              The epidemiology of fractures in Denmark in 2011

              J. H. M. Driessen, Anita Hansen, S. A. Eriksen … (2016)
              Summary In the present study, we used national health care databases to estimate fracture incidence rates (IRs) and compared these IRs based on imputed data. We showed that imputation could lead to both over- and underestimation of IRs, and future research should therefore focus on how to improve those imputations. Introduction Osteoporosis is a major public health burden through associated (osteoporotic) fractures. In Denmark, the incidence rates (IRs) of hip fracture are widely available. However, there is limited data about other fracture sites. A recent report could only provide imputed IRs, although nationwide data is readily available in electronic healthcare databases. Therefore, our aim was to estimate fracture site-specific IRs for Denmark in 2011 and to compare those to the previously reported imputed data. Methods Data from the Danish National Hospital Discharge Register was used to estimate age- and gender-specific IRs for any fracture as well as for different fracture sites in the Danish population aged 20 years and older in 2011. Hip fracture IRs were stratified to sub-sites, and IRs were determined for all hip fractures which were confirmed by surgery. Results The total number of incident fractures in 2011 was 80,760 (IR 191, 95 % confidence interval (CI) 190–192 (per 10,000 person-years)), of which 35,398 (43.8 %, IR 171, 95 % CI 169–173) occurred in men and 45,362 (56.2 %, IR 211, 95 % CI 209–213) in women. The majority of the fractures occurred in the population aged 50 years and older (n = 50,470, IR 249, 95 % CI 247–251). The numbers of any hip fracture were lower than the previously imputed estimates, whereas the number of forearm fractures was higher. Conclusion We showed age- and gender-specific fracture rates for any fracture as well as for different fracture sites. The IRs of most fracture sites increased with age. Estimating the number of fractures for Denmark based on imputation of data from other countries led to both over- and underestimation. Future research should therefore focus on how to improve those imputations as not all countries have nationwide registry data.
              Article 0 comments Cited 22 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Journal
                Journal ID (publisher-id): amdc
                Title: Acta Médica del Centro
                Abbreviated Title: Acta méd centro
                Publisher: Hospital Provincial Clínico Quirúrgico Universitario Arnaldo Milián Castro (Santa Clara, , Cuba )
                ISSN (Electronic): 2709-7927
                Publication date (Print and electronic): June 2020
                Volume: 14
                Issue: 2
                Pages: 193-200
                Affiliations
                [1] Sagua la Grande Villa Clara orgnameHospital General Universitario “Mártires del 9 de Abril” Cuba
                [2] Santa Clara Villa Clara orgnameUniversidad Central Marta Abreu de Las Villas Cuba
                Article
                Publisher ID: S2709-79272020000200193 Publisher ID: S2709-7927(20)01400200193
                SO-VID: 4e778602-4a96-4471-b96d-3649c29ca03c
                License:

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                Date received : 26 November 2019
                Date accepted : 20 January 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 20, Pages: 8
                Product

                SciELO Cuba

                Categories
                Subject: ARTÍCULOS ORIGINALES

                Keywords: fracturas de cadera,anciano,epidemiología,aged,epidemiology,hip fractures
                Data availability:
                Keywords: fracturas de cadera, anciano, epidemiología, aged, epidemiology, hip fractures

                Comments

                Comment on this article

                Similar content535

                See all similar

                Cited by2

                See all cited by

                Most referenced authors143

                See all reference authors