Prevalence of acute diseases in the elderly assisted in emergency department of orthopedics

Abstract

OBJECTIVE: To make an analysis of the care of elderly in an Emergency Department of Orthopedics with the primary objective to know the percentage of elderly treated, their conditions of origin and level of accidental conditions, and examine possible comorbidities, evolution and mortality rate. METHODS: Retrospective observational epidemiological study based on survey records of a tertiary hospital during one year (January to December 2006) RESULTS: In the year 2006 (January to December) 12,916 calls to patients older than 60 were performed. CONCLUSION: Massive attendance of the elderly population was observed, however, the vast majority related to chronic problems that do not require urgent attention. Patients requiring urgent attention suffer from trauma related to falls and are between the seventh and ninth decades of life, mostly female and requiring hospitalization for longer periods. Level of Evidence VI, Cases Series.

Prevalence of low back pain in different educational levels: a systematic review

“…Studies with other aims have also described associations with education [40][41][42][43][44][45][46][47][48]. Studies assessing the prevalence of LBP reported associations with educational level, even though this was not their primary search goal [49][50][51][52][53][54][55][56][57][58]. Further studies having as their primary aim the investigation of the association of educational level attained or number of years of education with other variables are therefore needed to increase the number of studies eligible for meta-analysis that correlate education with the occurrence of LBP.…”

Prevalence of low back pain in older Brazilians: a systematic review with meta-analysis

“…After evaluation of the 75 potential full-texts, 16 original studies in 17 available studies, from the years 2004 to 2014, were included in the review. 12,[22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37] Reasons for exclusion of full-texts were: LBP was not outcome (n = 17); older people sample size <170 (n = 11); sample age <60 years old (n = 18); studies not conducted in Brazil (n = 9); and authors did not clarify if LBP was the outcome (n = 1) or if older people sample size was ≥170 (n = 2) (Fig. 1).…”

“…The remaining four studies (25%) were from secondary or tertiary care settings, and used health records for data collection. 12,26,32,33 Eight of the 16 studies (50%) were conducted in the Southern region of Brazil, 23,28,29,32,34-37 four (25%) were conducted in the Northeast region, 22,26,27,33 three (19%) were conducted in the Southeast region 12,24,25 and one (6%) was conducted in the Midwest region. 31 Thirteen studies (80%) reported pointprevalence of LBP.…”

“…31 Thirteen studies (80%) reported pointprevalence of LBP. 12,22,[24][25][26][27]29,[32][33][34][35][36][37] …”

“…work productivity loss) costs to this population. 4,12,13 Despite the negative socioeconomic impact produced by LBP, prevalence studies of this condition in older people with representative samples are still scarce in many locations, especially in developing countries. 9 Due to the large area of Brazilian territory, the growth of its older population and the increase in chronic health conditions such as LBP, this systematic review investigated the prevalence of LBP in older Brazilians aged 60 years or over.…”