Incidence of hip fracture and 30‐day hospital readmissions in a region of central Italy from 2006 to 2015

Giovanni, Pamela Di; G, Di Martino; I, Zecca; Porfilio, Italo; Romano, Ferdinando; Staniscia, Tommaso

doi:10.1111/ggi.13645

Cited by 4 publications

(18 citation statements)

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“…The management of hip fractures, especially surgery, generates high costs. Due to high incidence of hip fractures and high costs for health systems, several authors presented lately data on trends of hip fracture incidence [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16]. Some authors noted the decrease in hip fracture rate [4][5][6][7][8]16] and the other ones observed their increase [1-3, 9, 13, 17].…”

Section: Introductionmentioning

confidence: 99%

The incidence of arm, forearm, and hip osteoporotic fractures during early stage of COVID-19 pandemic

et al. 2021

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The study analyzes whether the COVID-19 pandemic affects the incidence of arm, forearm, and hip fractures. Additionally, the change in the overall cost of those fractures treatment was estimated. During the COVID-19 pandemic, the incidence of arm, forearm, and hip fractures and the cost of fracture management are decreased. Introduction Purposes of the study were to analyze if COVID-19 pandemic influences the incidence of arm, forearm, and hip osteoporotic fractures and to estimate the changes in costs of their management. Methods Data on arm, forearm, and hip fracture incidence were collected for inhabitants aged over 50 years in the district of Tarnowskie Góry and the city of Piekary Śląskie, South Poland, in the early stage of COVID-19 pandemic (77 days, from March 16th to May 31st 2020). These results were compared with the number of fractures noted in years 2015-2019 in the same period of the year. The ratio of analyzed fractures per 100,000 inhabitants was calculated. Results The recorded numbers of fractures of arm, forearm, and hip were 13, 43, and 29, respectively. The respective mean number for fractures reported in corresponding period in 2015-2019 years was 23.6, 52, and 33. The year fracture incidence calculated per 100,000 inhabitants decreased by 45.8%, 18.4%, and 13.4%, respectively. The estimated numbers of avoided fractures extrapolated for the whole country for arm, forearm, and hip were 1722, 1548, and 947, respectively. The total number of avoided fractures was 4217. The expected nationwide cost reduction for the arm, forearm, and hip fracture management was estimated at € 568,260, € 332,820, and € 1,628,840, respectively. The total cost reduction was € 2,529,920 over the period of observation. Conclusion During COVID-19 pandemic, a decrease of arm, forearm, and hip fracture incidence was observed which may result in decrease of total costs for Polish healthcare system.

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Section: Introductionmentioning

confidence: 99%

The incidence of arm, forearm, and hip osteoporotic fractures during early stage of COVID-19 pandemic

et al. 2021

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“…Studies conducted in southern Brazil had an IHM of 4.3 to 7.5%, 9 13 while European studies reported 2.1 and 3.8%. 10 17 Higher mortality among men was pointed out by previous studies. 8 21 …”

Section: Discussionmentioning

confidence: 77%

“…A predominância de sexo feminino entre os idosos com FFP é bem descrita na literatura. 2 8 9 10 11 17 A idade média dos indivíduos avaliados no presente estudo foi de 83,4 ± 8,3 anos, sendo 83,9 ± 8,2 anos para as mulheres e 81,4 ± 8,5 para os homens ( p < 0,001). Estudos europeus relataram uma média de idade de pacientes com FFP > 80 anos; 10 17 porém, estudos brasileiros relataram uma idade média < 80 anos.…”

Section: Perfil Da Amostraunclassified

“… 2 8 9 10 11 17 A idade média dos indivíduos avaliados no presente estudo foi de 83,4 ± 8,3 anos, sendo 83,9 ± 8,2 anos para as mulheres e 81,4 ± 8,5 para os homens ( p < 0,001). Estudos europeus relataram uma média de idade de pacientes com FFP > 80 anos; 10 17 porém, estudos brasileiros relataram uma idade média < 80 anos. 9 13 Idade média maior no sexo feminino foi relatada por vários estudos.…”

Section: Perfil Da Amostraunclassified

“…Estudos realizados no sul do Brasil obtiveram uma taxa de MIH de 4,3 a 7,5%, 9 13 enquanto estudos europeus relataram 2,1 e 3,8%. 10 17 Uma maior taxa de mortalidade entre os homens foi apontada por estudos prévios. 8 21 …”

Section: Mortalidade Intra-hospitalarunclassified

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Fatores associados à reinternação em até 30 dias após a alta e à mortalidade intra-hospitalar após cirurgia por fratura do fêmur proximal em idosos: coorte retrospectiva

Pinto

Teatini

Avelar³

et al. 2023

Rev Bras Ortop (Sao Paulo)

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Resumo Objetivo Avaliar os fatores associados à reinternação em até 30 dias após a alta (R30) e à mortalidade intra-hospitalar (MIH) em idosos submetidos a cirurgia por fratura do fêmur proximal (FFP). Métodos Coorte retrospectiva com dados de 896 prontuários de idosos (≥ 60 anos) submetidos a cirurgia de FFP em hospital brasileiro, no período entre novembro de 2014 a dezembro de 2019. Os pacientes incluídos foram acompanhados desde a data de internação para a cirurgia até 30 dias após a alta. Como variáveis independentes, foram avaliados o sexo, idade, estado civil, hemoglobina (Hb) pré e pós-operatória, razão normalizada internacional, tempo da internação relacionada à cirurgia, tempo porta cirurgia, comorbidades, cirurgias prévias, uso de medicamentos e escore da American Society of Anesthesiologists (ASA). Resultados A incidência de R30 foi de 10,2% (intervalo de confiança [IC] 95%: 8,3–12,3%) e a de MIH foi 5,7% (IC95%: 4,3–7,4%). Referente a R30, no modelo ajustado, associaram-se ter hipertensão (odds ratio [OR]: 1,71; IC95%: 1,03–2,96), uso regular de medicamentos psicotrópicos (OR: 1,74; IC95%: 1,12–2,72). Tratando-se da MIH, maiores chances estiveram associadas à doença renal crônica (DRC) (OR: 5,80; IC95%: 2,64–12,31), maior tempo de internação (OR: 1,06; IC95%: 1,01–1,10) e R30 (OR: 3,60; IC95%: 1,54–7,96). Maiores valores de Hb pré-operatória associaram-se à menor chance de mortalidade (OR: 0,73; IC95%: 0,61–0,87). Conclusão Os achados sugerem que a ocorrência destes desfechos está associada à comorbidades, medicamentos e Hb.

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The incidence of musculoskeletal injuries: a systematic review and meta-analysis

Ponkilainen

Kuitunen

Liukkonen

et al. 2022

Bone & Joint Research

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Aims The aim of this systematic review and meta-analysis was to gather epidemiological information on selected musculoskeletal injuries and to provide pooled injury-specific incidence rates. Methods PubMed (National Library of Medicine) and Scopus (Elsevier) databases were searched. Articles were eligible for inclusion if they reported incidence rate (or count with population at risk), contained data on adult population, and were written in English language. The number of cases and population at risk were collected, and the pooled incidence rates (per 100,000 person-years) with 95% confidence intervals (CIs) were calculated by using either a fixed or random effects model. Results The screening of titles yielded 206 articles eligible for inclusion in the study. Of these, 173 (84%) articles provided sufficient information to be included in the pooled incidence rates. Incidences of fractures were investigated in 154 studies, and the most common fractures in the whole adult population based on the pooled incidence rates were distal radius fractures (212.0, 95% CI 178.1 to 252.4 per 100,000 person-years), finger fractures (117.1, 95% CI 105.3 to 130.2 per 100,000 person-years), and hip fractures (112.9, 95% CI 82.2 to 154.9 per 100,000 person-years). The most common sprains and dislocations were ankle sprains (429.4, 95% CI 243.0 to 759.0 per 100,000 person-years) and first-time patellar dislocations (32.8, 95% CI 21.6 to 49.7 per 100,000 person-years). The most common injuries were anterior cruciate ligament (17.5, 95% CI 6.0 to 50.2 per 100,000 person-years) and Achilles (13.7, 95% CI 9.6 to 19.5 per 100,000 person-years) ruptures. Conclusion The presented pooled incidence estimates serve as important references in assessing the global economic and social burden of musculoskeletal injuries. Cite this article: Bone Joint Res 2022;11(11):814–825.

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Incidence of hip fracture and 30‐day hospital readmissions in a region of central Italy from 2006 to 2015

Cited by 4 publications

References 13 publications

The incidence of arm, forearm, and hip osteoporotic fractures during early stage of COVID-19 pandemic

The incidence of arm, forearm, and hip osteoporotic fractures during early stage of COVID-19 pandemic

Fatores associados à reinternação em até 30 dias após a alta e à mortalidade intra-hospitalar após cirurgia por fratura do fêmur proximal em idosos: coorte retrospectiva

The incidence of musculoskeletal injuries: a systematic review and meta-analysis

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