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Daniachi D, Netto Ados S, Ono NK, et al. Epidemiology of fractures of the proximal third of the femur in elderly patients. Rev Bras Ortop. 2015;50(4):371-7doi: 10.1016/j.rboe.2015.06.007.
Daniachi, D., Netto, A. d. o. s. . S., Ono, N. K., Guimarães, R. P., Polesello, G. C., & Honda, E. K. (2015). Epidemiology of fractures of the proximal third of the femur in elderly patients. Revista brasileira de ortopedia, 50(4), 371-7. https://doi.org/10.1016/j.rboe.2015.06.007
Daniachi, Daniel, et al. "Epidemiology of fractures of the proximal third of the femur in elderly patients." Revista brasileira de ortopedia vol. 50,4 (2015): 371-7. doi: https://doi.org/10.1016/j.rboe.2015.06.007
Daniachi D, Netto Ados S, Ono NK, Guimarães RP, Polesello GC, Honda EK. Epidemiology of fractures of the proximal third of the femur in elderly patients. Rev Bras Ortop. 2015 Jun 27;50(4):371-7. doi: 10.1016/j.rboe.2015.06.007. eCollection 2015. PMID: 26401497; PMCID: PMC4563047.
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Rev Bras Ortop. 2015 Jun 27;50(4):371-7. doi: 10.1016/j.rboe.2015.06.007. eCollection 2015.

Epidemiology of fractures of the proximal third of the femur in elderly patients.

Revista brasileira de ortopedia

Daniel Daniachi, Alfredo Dos Santos Netto, Nelson Keiske Ono, Rodrigo Pereira Guimarães, Giancarlo Cavalli Polesello, Emerson Kiyoshi Honda

Affiliations

  1. Department of Orthopedics and Traumatology, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil.

PMID: 26401497 PMCID: PMC4563047 DOI: 10.1016/j.rboe.2015.06.007

Abstract

OBJECTIVE: This was an epidemiological study on fractures of the proximal third of the femur in elderly patients who were treated at a teaching hospital in the central region of São Paulo.

METHODS: The subjects were patients over the age of 60 years who were attended over a 1-year period. A questionnaire seeking basic sociodemographic data and information on comorbidities presented and medications used was drawn up. The circumstances of the fractures and their characteristics, the treatment instituted and the intra-hospital mortality rate were evaluated.

RESULTS: The 113 patients included in the study presented a mean age of 79 years. The ratio between the sexes was three women to each man. Only 30.4% of the patients reported having osteoporosis and only 0.9% had had treatment for the disease. Low-energy trauma was the cause of 92.9% of the fractures. Femoral neck fractures accounted for 42.5% of the fractures and trochanteric fractures, 57.5%. Five patients did not undergo operations; 39 underwent joint replacement; and 69 underwent osteosynthesis. The mean length of hospital stay was 13.5 days and the mean length of waiting time until surgery was 7 days. The intra-hospital mortality rate was 7.1%.

CONCLUSION: The patients attended at this institution presented an epidemiological profile similar to what is found in the Brazilian literature. Chronic kidney failure is a significant factor with regard to intra-hospital mortality. Preventive measures such as early diagnosis and treatment of osteoporosis and regular physical activity practices were not implemented.

Keywords: Elderly people; Epidemiology; Hip fractures

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