Incidencia, factores de riesgo y letalidad de la fractura de cadera en Chile: estudio transversal sobre registros nacionales de 2017 / Incidence, risk factors and case fatality rate for hip fracture in Chile: a cross-sectional study based on 2017 national registries
Medwave
;
20(5): e7939, 2020.
Article
in English, Spanish
| LILACS
| ID: biblio-1116666
RESUMEN
PURPOSE:
To describe the incidence of hip fracture in Chile during 2017, identify risk factors for in-hospital mortality, and estimate annual case fatality rate.METHOD:
The study design was cross-sectional and analytical. We obtained the registries of all patients from the Chilean Ministry of Health who were treated for hip fracture between January 1, 2017, and December 31, 2017. We used multivariate logistic regression to estimate the risk factors for in-hospital mortality. The annual case fatality rate was calculated using the probabilities obtained by estimating a logistic regression model in previous work. The estimated crude mortality rate per 100 000 persons was compared with that of cancer, as reported by the Ministry of Health.RESULTS:
During 2017, 7421 hip fractures occurred, resulting in an incidence of 40 per 100 000 persons. Of these, 1574 (21.21%) cases did not undergo surgery. In-hospital mortality was found to be associated with no surgery (odds ratio 8.32, 6.20 to 11.17), and being treated in a public hospital (odds ratio 1.62, 1.00 to 2.68). The estimated annual case fatality rate was 0.30 (0.27 to 0.33), and the crude mortality rate per 100 000 persons was 10.78 (9.66 to 11.71).CONCLUSION:
Hip fractures mainly affect the population over 60 years old and women. Chile has an excessively high rate of non-operated patients compared to international reports. There is a significant difference between care in a public hospital compared to private clinics in terms of volume, access to surgery, hospital stay, in-hospital mortality, and estimated case fatality rate.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Hospital Mortality
/
Health Services Accessibility
/
Hip Fractures
Type of study:
Etiology study
/
Incidence study
/
Observational study
/
Prevalence study
/
Prognostic study
/
Risk factors
/
Screening study
Limits:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
Country/Region as subject:
South America
/
Chile
Language:
English
/
Spanish
Journal:
Medwave
Journal subject:
Medicine
Year:
2020
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Hospital Clínico Universidad de Chile/CL
/
Hospital San José/CL
Similar
MEDLINE
...
LILACS
LIS