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Cadernos de Saúde Pública
On-line version ISSN 1678-4464
BORTOLON, Paula Chagas; ANDRADE, Carla Lourenço Tavares de and ANDRADE, Carlos Augusto Ferreira de. Characteristics of hospital admissions in the Unified National Health System for osteoporotic hip fracture in elderly people in Brazil, 2006-2008. Cad. Saúde Pública [online]. 2011, vol.27, n.4, pp.733-742. ISSN 1678-4464. http://dx.doi.org/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.
Keywords : Osteoporosis; Femoral Fractures; Hospitalization; Aged.