Bortolon Paula Chagas, Andrade Carla Lourenço Tavares de, Andrade Carlos Augusto Ferreira de
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rua Senador Vergueiro 200, Rio de Janeiro, RJ, Brazil.
Cad Saude Publica. 2011 Apr;27(4):733-42. doi: 10.1590/s0102-311x2011000400012.
Osteoporosis is a multifactorial syndrome of the skeletal system, and hip fracture is the most serious consequence for the elderly, due to the high mortality and cost. This article describes osteoporotic hip fractures in Brazilian elderly in 2006-2008. Secondary data were obtained from the Authorization Forms for Hospital Admissions (AIH) and allowed the creation of indicators for hip fracture in elders. The proportion of elderly patients hospitalized for hip fractures in the Unified National Health System was 1%. The percentages of hospital admissions and deaths were higher in females, and increased with age. Hip fractures accounted for approximately 2% of health care expenditures for persons 60 years or older. Length of hospital stay ranged from one to seven days, 50.1% occurred in charity hospitals, and 42.7% occurred outside the county of residence. The findings emphasize the need for greater attention to osteoporosis and show the relevance of costs in hospital admissions for elderly with osteoporotic hip fractures. Understanding such hospitalizations can contribute to the formulation of health policies to address this issue.
骨质疏松症是一种骨骼系统的多因素综合征，髋部骨折是老年人最严重的后果，因为其死亡率高且成本高昂。本文描述了2006 - 2008年巴西老年人的骨质疏松性髋部骨折情况。二级数据来自医院入院授权表（AIH），并用于创建老年人髋部骨折的指标。在统一的国家卫生系统中，因髋部骨折住院的老年患者比例为1%。女性的住院率和死亡率更高，且随年龄增长而增加。髋部骨折约占60岁及以上人群医疗保健支出的2%。住院时间从1天到7天不等，50.1%发生在慈善医院，42.7%发生在居住县以外。这些发现强调了对骨质疏松症需要给予更多关注，并显示了骨质疏松性髋部骨折老年患者住院成本的相关性。了解此类住院情况有助于制定解决这一问题的卫生政策。
