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01-12-2022 | Care | Original Article

Incidence of hip fractures during the COVID-19 pandemic in the Brazilian public health care system

Authors: Audrey Caetano da Silva, Guilherme da Silva Santos, Eliane Mara Cesário Pereira Maluf, Victoria Zeghbi Cochenksi Borba

Published in: Archives of Osteoporosis | Issue 1/2022

Abstract

Summary

This study compared the incidence of hip fractures before and during the COVID-19 pandemic in Brazil, aged ≥ 60 years excluding all fractures related to any trauma. There was a significant reduction in the number of hip fractures and the length of hospital stay during the period of social isolation.

Purpose

To compare the incidence of hip fractures before and during the COVID-19 pandemic in Brazil and in the main regions of the country in patients covered by the Brazilian public health care system (SUS). As far as we are aware, no studies have evaluated the impact of COVID-19 pandemic on hip fractures in Brazil.

Methods

Descriptive, cross-sectional study in individuals aged ≥ 60 years who presented with a hip fracture before and during the COVID-19 pandemic and received treatment covered by the SUS. The data were collected from the DATASUS electronic database. We calculated the incidence, mortality, lethality, duration of hospitalization, and average reimbursement associated with the treatment of the fractures.

Results

There was a significant reduction in the incidence of hip fractures among individuals aged ≥ 60 years in Brazil during the period of social isolation due to COVID-19. The observed incidence was 15.58/10,000 inhabitants between March and December 2020 and 16.07/10,000 inhabitants in the same period of 2019 (p < 0.005; main decline observed in the age groups > 70 years). The average length of hospital stay reduced from 8.35 days in 2019 to 7.33 days in 2020, following a similar pattern of reduction across all regions. The Southeast was the only region with a significant reduction in mortality during the pandemic (relative risk 0.90, 95% confidence interval 0.84–0.97, p < 0.005).

Conclusion

During the COVID-19 pandemic in Brazil, the incidence rate of hip fractures and the associated duration of hospital stay decreased among patients aged ≥ 60 years.

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Title: Incidence of hip fractures during the COVID-19 pandemic in the Brazilian public health care system
Authors: Audrey Caetano da Silva
Guilherme da Silva Santos
Eliane Mara Cesário Pereira Maluf
Victoria Zeghbi Cochenksi Borba
Publication date: 01-12-2022
Publisher: Springer London
Keywords: Care
COVID-19
Public Health
Published in: Archives of Osteoporosis / Issue 1/2022
Print ISSN: 1862-3522
Electronic ISSN: 1862-3514
DOI: https://doi.org/10.1007/s11657-022-01078-w

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Incidence of hip fractures during the COVID-19 pandemic in the Brazilian public health care system

Abstract

Summary

Purpose

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Summary

Purpose

Methods

Results

Conclusion

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