Abstract

ERCOLANO, Mánica A; DRNOVSEK, Mánica L  and  GAUNA, Alicia. Hip Fracture in Public Hospitals of Argentina. Rev. argent. endocrinol. metab. [online]. 2012, vol.49, n.1, pp.3-11. ISSN 1851-3034.

Hip fracture in the aged population constitutes a growing problem for health systems at a global level because of its economic and social impact. Objectives: to assess discharges for hip fracture in adults over the age of 55 reported to the Ministry of Health of Argentina during the years 2000, 2006, 2007 and 2008; analyze the effect of age and sex on the incidence of hip fractures and its variability over time. Materials and Methods: The discharge data for hip fractures in patients over 55 years were obtained from registers of the Ministry of Health of Argentina. We calculated the Discharge Rate (DR) by hip fractures, DR of fractures stratified by sex (♀: female, ♂: male) and age; the Annual Growth Rate (AGR). Statistics: Student test and Chi square test. Results and Conclusions: Hip fracture in public hospitals in Argentina in the evaluated years reached an average of 5700 discharges per year, with a DR 280/100000. The.♀/♂ ratio was 2.3. The average discharge age was 78.7 years, significantly lower in men in relation to women. The relationship ^/c? increased three times with age. The age was a strong determinant of fracture so the DR was 2800/100000 in people older than 75 years. The AGR was 1.4 %. Cervical fracture was the most frequent, and increased progressively with age; the trochanteric remained stable in the younger age groups and increased in people over 75 years. Both were more common in women. This is the first trial on hip fracture data in Argentina. Given population aging hip fracture will become a progressively larger burden on public health.

Keywords : Hospital care; Hip fracture; Epidemiology; Public Health.

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