Patients Profile with Fractures Treated at the Lagarto’s University Hospital from 2021 to 2023

Authors

DOI:

https://doi.org/10.55892/jrg.v8i18.1940

Keywords:

Orthopedics, Fractures, Hospitalizations, Epidemiology

Abstract

Fractures represent a significant clinical condition requiring specialized medical attention and are among the leading causes of morbidity and mortality worldwide. This study aimed to investigate the profile of patients admitted to the Trauma-Orthopedic sector of the Regional Hospital of Lagarto with fractures, focusing on demographic characteristics, fracture types, injury mechanisms, and other relevant aspects. A retrospective, observational, cross-sectional design was adopted, analyzing medical records using non-probabilistic sampling based on inclusion and exclusion criteria. Statistical tests such as the Student’s t-test, ANOVA, or non-parametric tests were employed to compare clinical outcomes across fracture types and injury mechanisms. The analysis of 365 fractures (2021–2023) revealed a male predominance (65.75%) and higher incidence among urban residents (57.42%). Most fractures occurred in single individuals aged 19 to 59, with falls as the leading cause (59.45%). Patients aged 19–59 and over 60 exhibited higher surgical demand and longer hospital stays. All 11 deaths (lethality rate 3.01%) occurred in patients aged over 60, underlining their increased vulnerability. The findings emphasize the prevalence of fractures among young and adult urban males, along with the heightened susceptibility of the elderly to severe fractures. Falls and traffic accidents emerged as the primary injury mechanisms, highlighting the need for preventive safety campaigns and environmental adjustments, particularly for older adults.

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Author Biographies

Diego dos Passos Santiago, Universidade Federal de Sergipe Campus Lagarto - Departamento de Medicina, SE, Brasil

Graduando em Fisioterapia pela Universidade Federal de Sergipe; Mestre em Ciências Aplicada à Saúde pela Universidade Federal de Sergipe; Graduando em Medicina pela Universidade Federal de Sergipe.

Victor Hugo Ferraz da Silva, Universidade Federal de Sergipe Campus Lagarto - Departamento de Medicina, SE, Brasil

Graduado em Biomedicina pelo Centro Universitário Faminas; Mestre em Biologia Celular e Estrutural pela Universidade Federal de Viçosa; Doutor em Biologia Celular e Estrutural pela Universidade Federal de Viçosa; Graduando em Medicina pela Universidade Federal de Sergipe.

Leonardo Alves Amaral, Universidade Federal de Sergipe Campus Lagarto - Departamento de Medicina

Graduando Medicina pela Universidade Federal de Sergipe

Luciana Nalone Andrade, Universidade Federal de Sergipe Campus Lagarto - Departamento de Medicina

Graduada em Farmácia pela Universidade Federal de Sergipe; Mestra em Ciências Farmacêuticas pela Universidade Federal de Sergipe; Doutorado em Biotecnologia pela Universidade Federal de Sergipe.

References

BRASIL. Ministério da Saúde. Boletim Epidemiológico: Cenário brasileiro das lesões de motociclistas no trânsito de 2011 a 2020. Brasília: Ministério da Saúde, 2023. Disponível em: [https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/boletins/epidemiologicos/edicoes/2023/boletim-epidemiologico-volume-54-no-06/].

BROWN, C.; REDMOND, C.; HILL, K. Falls and fractures in older women with osteoporosis. Aging and Disease, v. 11, n. 6, p. 1365-1374, 2020.

BROWN, J. P.; REDMOND, P.; HILL, K. D. The prevalence and predictors of osteoporosis-related fractures and falls among older women with osteoporosis in an Australian regional hospital setting. Arch Osteoporos.

EDELMUTH, S. V. C. L.; SORIO, G. N.; SPROVIERI, F. A. A.; GALI, J. C.; PERON, S. F. Comorbidities, clinical intercurrences, and factors associated with mortality in elderly patients admitted for a hip fracture. Revista Brasileira de Ortopedia (English Edition), v. 53, n. 5, p. 543-551, 2018. Disponível em: [https://doi.org/10.1016/j.rboe.2018.07.014].

GARCÍA-MATA, S. et al. Fracture pattern and mechanism in severe polytrauma. European Journal of Trauma and Emergency Surgery, v. 43, n. 2, p. 209-215, 2017.

GARCÍA-MATA, S. et al. The pattern and mechanism of fractures in severe trauma patients: A retrospective observational study. Medicine (Baltimore), v. 96, n. 32, p. e7732, 2017.

JOHNSON, B.; STAVRINOS, D.; WEBER, K. The role of injury mechanism and fall kinematics in the injury risk of older adults. Accid Anal Prev, v. 114, p. 42-48, 2018.

JOHNSON, N. A.; STAVRINOS, D.; WEBER, N. L. Understanding factors associated with injury severity in pediatric motor vehicle crashes: A U.S. perspective. Journal of Safety Research, v. 65, p. 107-112, 2018.

JOHNSTON, B. C. et al. Fracture risk assessment in adults aged 50 years and older: A systematic review.Journal of the American Medical Association, v. 325, n. 9, p. 906-915, 2021.

JOHNSTON, C. B. et al. Evaluation of risk assessment tools for fractures in adults aged 50 years or older: A systematic review. JAMA Network Open, v. 4, n. 4, p. e215029, 2021.

JONES, C. D.; SMITH, J. L. Hip fractures and falls: Can we do more to prevent them? Journal of Orthopaedic Nursing, v. 22, n. 2, p. 102-105, 2018.

OLIVEIRA, A. C. et al. Mecanismos de lesão em fraturas de coluna vertebral em idosos. Revista Brasileira de Ortopedia, v. 55, n. 3, p. 267-272, 2020.

SILVA, G. F. et al. Traumatic fractures of the upper limb in children and adolescents: A retrospective study.Revista Paulista de Pediatria, v. 37, n. 2, p. 145-150, 2019.

SMITH, M. W.; SMITH, L. N.; WEAVER, A. A. Human rib fracture tolerance to dynamic frontal loading.Traffic Injury Prevention, v. 20, Suppl 1, p. S17-S22, 2019.

Published

2025-03-17

How to Cite

DOS PASSOS SANTIAGO, D. .; FERRAZ DA SILVA, V. H.; ALVES AMARAL, L.; NALONE ANDRADE, L. . Patients Profile with Fractures Treated at the Lagarto’s University Hospital from 2021 to 2023. JRG Journal of Academic Studies, Brasil, São Paulo, v. 8, n. 18, p. e081940, 2025. DOI: 10.55892/jrg.v8i18.1940. Disponível em: http://revistajrg.com/index.php/jrg/article/view/1940. Acesso em: 31 mar. 2025.

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