EPIDEMIOLOGY OF PROXIMAL FEMUR FRACTURE IN OLDER ADULTS IN A PHILANTHROPICAL HOSPITAL IN SÃO PAULO
ABSTRACT Objective: To evaluate the age and anthropometry profile of patients with a diagnosis of fracture of the proximal femur in older adults admitted to a philanthropic hospital in São Paulo. Methods: Retrospective observational cross-sectional study. All patients older than 59 years with fe...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Ortopedia e Traumatologia
2022-12-01
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| Series: | Acta Ortopédica Brasileira |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522022002600208&tlng=en |
| _version_ | 1811290732868141056 |
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| author | RAFAEL MORAES TRINCADO MARCOS ALEXANDRE KOJIMA MORI LUCAS SEABRA FERNANDES THOMAS ABDAL PERLAKY JOSÉ OCTÁVIO SOARES HUNGRIA |
| author_facet | RAFAEL MORAES TRINCADO MARCOS ALEXANDRE KOJIMA MORI LUCAS SEABRA FERNANDES THOMAS ABDAL PERLAKY JOSÉ OCTÁVIO SOARES HUNGRIA |
| author_sort | RAFAEL MORAES TRINCADO |
| collection | DOAJ |
| description | ABSTRACT Objective: To evaluate the age and anthropometry profile of patients with a diagnosis of fracture of the proximal femur in older adults admitted to a philanthropic hospital in São Paulo. Methods: Retrospective observational cross-sectional study. All patients older than 59 years with femoral fractures diagnosed and hospitalized between January, 2019 and April, 2020 were included. The analysis of the 85 medical records resulted in the data collected in the present study. Anthropometry, age, sex, ethnicity, presence of comorbidities and mechanism of trauma of these patients were considered in this study. Most traumas, as expect, presented low energy mechanisms. Results: Prevalence of 3:1 in females, aged between 60-104 and mean of 78.5 years, with an increased risk in patients over 80 years. The body mass index (BMI) between 16.53 and 39.80 with an average of 24.16 kg/m2. Being 89.4% cases of fall from own height. Conclusion: Proximal femur fractures in older adults occur more often in women, with a mean age of 78.5 years, normal BMI range, whose main trauma mechanism is fall to ground level. The most prevalent injury is transtrochanteric fracture, with a mean of 70.5% and the most performed treatment is internal fixation with cephalomedullary nail, with a mean of 66.1%. Level of Evidence VI, Descriptive Epidemiological Study. |
| first_indexed | 2024-04-13T04:17:48Z |
| format | Article |
| id | doaj.art-b49a0e95396e4dd4ad894b9077b2c976 |
| institution | Directory Open Access Journal |
| issn | 1413-7852 |
| language | English |
| last_indexed | 2024-04-13T04:17:48Z |
| publishDate | 2022-12-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Acta Ortopédica Brasileira |
| spelling | doaj.art-b49a0e95396e4dd4ad894b9077b2c9762022-12-22T03:02:56ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522022-12-0130610.1590/1413-785220223006e255963EPIDEMIOLOGY OF PROXIMAL FEMUR FRACTURE IN OLDER ADULTS IN A PHILANTHROPICAL HOSPITAL IN SÃO PAULORAFAEL MORAES TRINCADOhttps://orcid.org/0000-0001-8132-6923MARCOS ALEXANDRE KOJIMA MORIhttps://orcid.org/0000-0003-3344-3548LUCAS SEABRA FERNANDEShttps://orcid.org/0000-0003-3038-3527THOMAS ABDAL PERLAKYhttps://orcid.org/0000-0002-8953-2526JOSÉ OCTÁVIO SOARES HUNGRIAhttps://orcid.org/0000-0003-2215-9103ABSTRACT Objective: To evaluate the age and anthropometry profile of patients with a diagnosis of fracture of the proximal femur in older adults admitted to a philanthropic hospital in São Paulo. Methods: Retrospective observational cross-sectional study. All patients older than 59 years with femoral fractures diagnosed and hospitalized between January, 2019 and April, 2020 were included. The analysis of the 85 medical records resulted in the data collected in the present study. Anthropometry, age, sex, ethnicity, presence of comorbidities and mechanism of trauma of these patients were considered in this study. Most traumas, as expect, presented low energy mechanisms. Results: Prevalence of 3:1 in females, aged between 60-104 and mean of 78.5 years, with an increased risk in patients over 80 years. The body mass index (BMI) between 16.53 and 39.80 with an average of 24.16 kg/m2. Being 89.4% cases of fall from own height. Conclusion: Proximal femur fractures in older adults occur more often in women, with a mean age of 78.5 years, normal BMI range, whose main trauma mechanism is fall to ground level. The most prevalent injury is transtrochanteric fracture, with a mean of 70.5% and the most performed treatment is internal fixation with cephalomedullary nail, with a mean of 66.1%. Level of Evidence VI, Descriptive Epidemiological Study.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522022002600208&tlng=enCausalityEpidemiologyFemoral FracturesAged |
| spellingShingle | RAFAEL MORAES TRINCADO MARCOS ALEXANDRE KOJIMA MORI LUCAS SEABRA FERNANDES THOMAS ABDAL PERLAKY JOSÉ OCTÁVIO SOARES HUNGRIA EPIDEMIOLOGY OF PROXIMAL FEMUR FRACTURE IN OLDER ADULTS IN A PHILANTHROPICAL HOSPITAL IN SÃO PAULO Acta Ortopédica Brasileira Causality Epidemiology Femoral Fractures Aged |
| title | EPIDEMIOLOGY OF PROXIMAL FEMUR FRACTURE IN OLDER ADULTS IN A PHILANTHROPICAL HOSPITAL IN SÃO PAULO |
| title_full | EPIDEMIOLOGY OF PROXIMAL FEMUR FRACTURE IN OLDER ADULTS IN A PHILANTHROPICAL HOSPITAL IN SÃO PAULO |
| title_fullStr | EPIDEMIOLOGY OF PROXIMAL FEMUR FRACTURE IN OLDER ADULTS IN A PHILANTHROPICAL HOSPITAL IN SÃO PAULO |
| title_full_unstemmed | EPIDEMIOLOGY OF PROXIMAL FEMUR FRACTURE IN OLDER ADULTS IN A PHILANTHROPICAL HOSPITAL IN SÃO PAULO |
| title_short | EPIDEMIOLOGY OF PROXIMAL FEMUR FRACTURE IN OLDER ADULTS IN A PHILANTHROPICAL HOSPITAL IN SÃO PAULO |
| title_sort | epidemiology of proximal femur fracture in older adults in a philanthropical hospital in sao paulo |
| topic | Causality Epidemiology Femoral Fractures Aged |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522022002600208&tlng=en |
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