[Incidence of osteoporotic hip fracture in above 50 year old peoples of Tabriz in years 2004-2006]

ABSTRACT

Nontraumatic hip fracture due to osteoporotic is one of the most serious complications of this significant worldwide health problem. Osteoporotic hip fracture constitutes almost 20% of orthopedic ward admissions in most countries, with significant health related budgets being spent for care of these patients. Considering the lack of precise statistical data of osteoporotic hip fracture rates in our country, and any previous investigations regarding the problem in Tabriz [a large city in northwestern part of Iran], we investigated the frequency of this epidemic in residents aged over 50 years of Tabriz. In a retrospective - descriptive study, we reviewed medical records of all patients over 50 years inhabitants of Tabriz, admitted with hip fracture in city hospitals, during 24 months, from March 2005 to February 2007. Data regarding age, sex, type of trauma, type of fracture, and in-hospital morbidity and mortality were extracted, and analysis was performed using SPSS14 software. During the study period there were 878 admissions for hip fracture in subjects aged over 50 years there were 779 patients with nontraumatic hip fracture [398 males and 381 females] mean age 75.1 +/- 9.1. It is estimated that the rate of nontraumatic hip fracture in these citizens of Tabriz is 175 per 100000 population, 174 for females and 176 for males, with a female to male ratio of 0.96. The frequency of nontraumatic osteoporotic hip fracture among individuals aged over 50 years of Tabriz, is high, although these rates are lower than those reported from Sweden and the Netherlands, and similar to France and Portugal. The age related surge of osteoporotic hip fracture occurs 10 years earlier in our country, and female to male ratio is lower than those of other countries