Keywords
Public health
Indicators of morbidity and mortality
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Abstract
Objective: To describe the epidemiological profile of femur fractures among elderly individuals in the state of Sergipe, Brazil, from January 2019 to October 2025. Methods: A descriptive, observational, retrospective study was conducted using secondary data from the Department of Informatics of the Brazilian Unified Health System (DATASUS), through the Hospital Information System (SIH/SUS). Individuals aged ≥60 years hospitalized for femur fractures were included. The analyzed variables comprised number of hospitalizations, deaths, in-hospital mortality rate, length and mean hospital stay, and healthcare costs. Results: A high frequency of hospitalizations was observed, with predominance among female patients. The overall in-hospital mortality rate was 5.62%, increasing progressively with advancing age, particularly among individuals aged 80 years or older. Prolonged hospital stays and substantial healthcare costs were identified, indicating a significant burden on the healthcare system. Conclusion: Femur fractures among elderly individuals in Sergipe present a pattern similar to the national average, with higher occurrence in women and greater mortality in advanced age groups. These findings highlight the importance of this condition as a public health issue and reinforce the need for preventive strategies focused on fall prevention, osteoporosis management, and healthcare network organization.
References
ANDALORO S, et al. Hip fracture as a systemic disease in older adults: epidemiology and implications. Geriatric Orthopaedic Surgery & Rehabilitation, 2025; 16: 1-9.
ASTOLFO HBF. Epidemiologia da osteoporose e fraturas de fragilidade. International Journal of Health and Medical Review, 2024; 6(2): 1-10.
AUBRUN F, et al. Hip fracture surgery in the elderly patient: epidemiological and clinical considerations. Injury, 2011; 42(3): 305-309.
BAGHDADI S, et al. Mortality following proximal femoral fractures in elderly patients: risk factors and outcomes. BMC Geriatrics, 2023; 23: 512.
BRASIL. Ministério da Saúde. DATASUS – Sistema de Informações Hospitalares do SUS (SIH/SUS).
CARVALHO FILHO ET, PAPALÉO NETTO M. Geriatria: fundamentos, clínica e terapêutica. São Paulo: Atheneu.
CEMIN KN. Fatores associados à reincidência de fraturas do fêmur em idosos. eAcadêmica, 2024; 5(1): e555.
CORDEIRO RC, et al. Epidemiologia das fraturas de fêmur no Brasil. Cadernos de Saúde Pública, 2012; 28(4): 733-742.
DHANWAL DK, et al. Epidemiology of hip fracture: worldwide geographic variation. Indian Journal of Orthopaedics, 2011; 45(1): 15-22.
ILIC I. Epidemiology of hip fractures due to falls in elderly populations. International Journal of Environmental Research and Public Health, 2023; 20(18): 6765.
LIMA JA, et al. Perfil epidemiológico de idosos internados por fratura proximal de fêmur. Revista de Saúde (Univassouras), 2022; 13(1): 45-52.
LIN WP, et al. Risk factors for hip fracture sites and mortality in older adults. Osteoporosis International, 2011; 22(8): 2387-2397.
MICHELSON JD. Epidemiology of hip fractures among the elderly. Journal of Bone and Mineral Research, 1995; 10(2): 191-197.
ORGANIZAÇÃO MUNDIAL DA SAÚDE (OMS). WHO global report on falls prevention in older age. Genebra: OMS; 2007.
PECH-CIAU BA, et al. Hip fracture epidemiology and costs of care in Mexico. Geriatric Orthopaedic Surgery & Rehabilitation, 2021; 12: 1-8.
ROSE S. Hip fractures: an epidemiological review. Calcified Tissue International, 1999; 64(1): 1-8.
SAKAKI MH, et al. Estudo da mortalidade na fratura do fêmur proximal em idosos. Acta Ortopédica Brasileira, 2004; 12(4): 242-249.
SOARES DS, et al. Fraturas do fêmur em idosos: impacto na mortalidade e funcionalidade. Revista Brasileira de Ortopedia, 2015; 50(4): 371-376.
TRINCADO RM, et al. Epidemiology of proximal femur fracture in older adults. Journal of Aging Research and Clinical Practice, 2022; 11(4): 215-221.
VIGANÒ M, et al. Proximal hip fractures in elderly patients: incidence, outcomes and costs. BMC Musculoskeletal Disorders, 2023; 24: 734.
WIKLUND R, et al. Risk factors for hip fracture in very old people: a population-based study. Osteoporosis International, 2015; 26(3): 923-931.
YUSOFF RM, et al. Factors associated with different types of hip fractures: an epidemiological study. Aging Clinical and Experimental Research, 2024; 36(3): 489-497.
SILVA LS e REIS N. Panorama epidemiológico de pacientes com fratura de fêmur no Brasil: um estudo retrospectivo (2020–2025). Brazilian Journal of Implantology and Health Sciences, 2025; 8(1): 173-185.
SEGALA MJB, et. al. Epidemiologia das fraturas de fêmur em idosos no sul do Brasil de 2013 a 2023. Revista Varia Scientia – Ciências da Saúde, 2025; 11(1).
SUAREZ MAESTRE SD, et al. R. Perfil epidemiológico das internações por fratura de fêmur em mulheres no Rio Grande do Sul, Brasil, entre 2014 e 2025. Brazilian Journal of Implantology and Health Sciences, 2025; 7(9): 952-966.
JEON YK, et al. Influence of age and place of fall on the risk of hip fracture in older adults. Scientific Reports, 2025; 15: 41718.
OLOFSSON E, et al. Factors associated with one-year mortality after hip fracture in very old adults. European Geriatric Medicine, 2025.