Hip fracture in a developing country: a picture in need of change

Página do item simplificado
dc.contributor.authorVidal, Edison Iglesias de Oliveira [UNESP]
dc.contributor.authorMoreira Filho, Djalma de Carvalho
dc.contributor.authorPinheiro, Rejane Sobrino
dc.contributor.authorSouza, Romulo Cristovão
dc.contributor.authorAlmeida, Liz Maria de
dc.contributor.authorCamargo Jr., Kenneth Rochel de
dc.contributor.authorBoas, Paulo José Fortes Villas [UNESP]
dc.contributor.authorFukushima, Fernanda Bono [UNESP]
dc.contributor.authorCoeli, Cláudia Medina
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniversidade Estadual de Campinas (UNICAMP)
dc.contributor.institutionUniversidade Federal do Rio de Janeiro (UFRJ)
dc.contributor.institutionUniversidade Estadual do Rio de Janeiro (UERJ)
dc.contributor.institutionInstituto Nacional do Câncer (INCA)
dc.date.accessioned2016-04-01T18:42:56Z
dc.date.available2016-04-01T18:42:56Z
dc.date.issued2014
dc.description.abstractObjectives: To describe the clinical profile, patterns of care and mortality rates of aged patients who have undergone hip fracture surgical repair. Design: Retrospective patient record study. Setting: A public university hospital in Rio de Janeiro, Brazil. Participants: 352 patients aged 60 and older who underwent surgery for hip fracture between 1995-2000. Measurements: Sociodemographic data, type of fracture, cause of fracture, time from fracture to surgery, physical status, Charlson comorbidity index, type of surgery and anesthesia, access to in-hospital physiotherapy, use of antibiotic and thromboembolism prophylaxis, and mortality within one year after hospital admission. Results: Among 352 subjects, 74.4% were women. The mean age overall was 77.3 years. Very long delays from the time of fracture to hospital admission (mean 3 days) and from hospital admission to surgery (mean 13 days) were observed. Most femoral neck fractures (82.7%) were managed by hip arthroplasties, while 92.8% of the intertrochanteric fractures underwent internal fixation procedures. Less than 10% of patients received in-hospital physiotherapy. Mortality rates 30 days, 90 days and one year after hospital admission were 3.4%, 8.0% and 13.4%, respectively. Conclusion: Our study provides evidence within the context of a developing country of major gaps in the quality of care of vulnerable older adults who suffered a hip fracture. Our findings suggest that hip fracture has not been treated as an urgent condition or a priority within the Brazilian public healthcare system. Further research should address current patterns of care for hip fracture in Brazil and in other developing countries.en
dc.description.affiliationUniversidade Estadual Paulista Júlio de Mesquita Filho (UNESP), Faculdade de Medicina de Botucatu (FMB), Departamento de Clínica Médica, Botucatu, SP, Brasil
dc.description.affiliationUniversidade Estadual de Campinas (UNICAMP), Campinas, SP, Brasil
dc.description.affiliationUniversidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brasil
dc.description.affiliationUniversidade Estadual do Rio de Janeiro (UERJ), Faculdade de Ciências Médicas, Rio de Janeiro, RJ, Brasil
dc.description.affiliationIntituto Nacional do Câncer (INCA), Rio de Janeiro, RJ, Brasil
dc.description.affiliationUniversidade Estadual Paulista Júlio de Mesquita Filho (UNESP), Faculdade de Medicina de Botucatu (FMB), Departamento de Anestesiologia, Botucatu, SP, Brasil
dc.description.affiliationUnespUniversidade Estadual Paulista Júlio de Mesquita Filho (UNESP), Faculdade de Medicina de Botucatu (FMB), Departamento de Clínica Médica, Botucatu, SP, Brasil
dc.description.affiliationUnespUniversidade Estadual Paulista Júlio de Mesquita Filho (UNESP), Faculdade de Medicina de Botucatu (FMB), Departamento de Anestesiologia, Botucatu, SP, Brasil
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.description.sponsorshipIdCNPq: 474845/2001-0
dc.format.extent182-188
dc.identifierhttp://www.jarcp.com/603-hip-fracture-in-a-developing-country-a-picture-in-need-of-change.html
dc.identifier.citationJournal of Aging Research & Clinical Practice, v. 3, n. 3, p. 182-188, 2014.
dc.identifier.fileISSN2258-8094-2014-03-03-182-188.pdf
dc.identifier.issn2258-8094
dc.identifier.lattes9276729087180415
dc.identifier.lattes4043953540121335
dc.identifier.orcid0000-0002-1573-4678
dc.identifier.orcid0000-0001-8055-5425
dc.identifier.urihttp://hdl.handle.net/11449/136850
dc.language.isoeng
dc.relation.ispartofJournal of Aging Research & Clinical Practice
dc.rights.accessRightsAcesso aberto
dc.sourceCurrículo Lattes
dc.subjectHip fracturesen
dc.subjectOsteoporosisen
dc.subjectQuality of health careen
dc.subjectDeveloping countriesen
dc.subjectBrazilen
dc.titleHip fracture in a developing country: a picture in need of changeen
dc.typeArtigo
unesp.author.lattes9276729087180415[1]
unesp.author.lattes4043953540121335[8]
unesp.author.orcid0000-0002-1573-4678[1]
unesp.author.orcid0000-0001-8055-5425[8]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt
unesp.departmentClínica Médicapt
unesp.departmentAnestesiologiapt

Arquivos

Pacote Original
Agora exibindo 1 - 1 de 1
Imagem de Miniatura
Nome:
ISSN2258-8094-2014-03-03-182-188.pdf
Tamanho:
393.98 KB
Formato:
Adobe Portable Document Format
Baixar

Coleções

Artigos - Clínica Médica - FMB
Artigos - Anestesiologia - FMB