Epidemiology of orthopedic trauma admissions over year 2017 in the General Hospital H+ in Queretaro Mexico

Abstract

Background: The dynamics of demography in MA©xico is changing and its population is aging. Osteoporotic and fragility fractures are diseases associated with aging and therefore its incidence is expected to grow accordingly. Methods: We conducted a retrospective study of epidemiological data contained on medical records of 50 years and older patients with fracture admitted over a 12-month period at the Orthopedic Service from the General Hospital H+ in Queretaro Mexico. Descriptive and inferential statistics methods for distribution of patients according to gender and age group were used. Qualitative variables were presented by distributions of absolute and relative frequencies and distributions assessed by chi-square method. Results: From 150 patients presented in the Emergency Unit, 32 patients were admitted in Orthopedic Service. Data of 32 medical records showed the most common age groups was 50 to 59 (male 44.4% - female 34.8%). The more frequent factures were in upper limbs (male 33.3% - female 47.8%), hip (male 11.1% - female 21.7%) and spinal bone (male 11.1% - female 4.3%). Most common mechanism of trauma was fall (male 44.4% - female 56.5%) where no less than 50% of patients had pre-existing illness (systemic arterial hypertension, Diabetes Mellitus II, Obesity, Smoking and alcoholism) as predisposition factors to factures. Only one patient was diagnosed with OP using BMD and only one patient received treatment for OP. Conclusion: The frequency of patients with the most common type and trauma mechanism of fractures admitted in the Orthopedic Unit was consistently increased in female than male gender and correlates with previous reports. It was noticed that exists a medical management of patients related to reliable diagnosis and timely treatment of fracture fragility and OP, not according to criteria issued by international health entities.