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DC Field | Value | Language |
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dc.contributor.author | Vidal, Edison Iglesias de Oliveira | - |
dc.contributor.author | Moreira Filho, Djalma de Carvalho | - |
dc.contributor.author | Pinheiro, Rejane Sobrino | - |
dc.contributor.author | Souza, Romulo Cristovão | - |
dc.contributor.author | Almeida, Liz Maria de | - |
dc.contributor.author | Camargo Jr., Kenneth Rochel de | - |
dc.contributor.author | Boas, Paulo José Fortes Villas | - |
dc.contributor.author | Fukushima, Fernanda Bono | - |
dc.contributor.author | Coeli, Cláudia Medina | - |
dc.date.accessioned | 2016-04-01T18:42:56Z | - |
dc.date.accessioned | 2016-10-25T21:35:58Z | - |
dc.date.available | 2016-04-01T18:42:56Z | - |
dc.date.available | 2016-10-25T21:35:58Z | - |
dc.date.issued | 2014 | - |
dc.identifier | http://www.jarcp.com/603-hip-fracture-in-a-developing-country-a-picture-in-need-of-change.html | - |
dc.identifier.citation | Journal of Aging Research & Clinical Practice, v. 3, n. 3, p. 182-188, 2014. | - |
dc.identifier.issn | 2258-8094 | - |
dc.identifier.uri | http://hdl.handle.net/11449/136850 | - |
dc.identifier.uri | http://acervodigital.unesp.br/handle/11449/136850 | - |
dc.description.abstract | Objectives: To describe the clinical profile, patterns of care and mortality rates of aged patients who have undergone hip fracture surgical repair. Design: Retrospective patient record study. Setting: A public university hospital in Rio de Janeiro, Brazil. Participants: 352 patients aged 60 and older who underwent surgery for hip fracture between 1995-2000. Measurements: Sociodemographic data, type of fracture, cause of fracture, time from fracture to surgery, physical status, Charlson comorbidity index, type of surgery and anesthesia, access to in-hospital physiotherapy, use of antibiotic and thromboembolism prophylaxis, and mortality within one year after hospital admission. Results: Among 352 subjects, 74.4% were women. The mean age overall was 77.3 years. Very long delays from the time of fracture to hospital admission (mean 3 days) and from hospital admission to surgery (mean 13 days) were observed. Most femoral neck fractures (82.7%) were managed by hip arthroplasties, while 92.8% of the intertrochanteric fractures underwent internal fixation procedures. Less than 10% of patients received in-hospital physiotherapy. Mortality rates 30 days, 90 days and one year after hospital admission were 3.4%, 8.0% and 13.4%, respectively. Conclusion: Our study provides evidence within the context of a developing country of major gaps in the quality of care of vulnerable older adults who suffered a hip fracture. Our findings suggest that hip fracture has not been treated as an urgent condition or a priority within the Brazilian public healthcare system. Further research should address current patterns of care for hip fracture in Brazil and in other developing countries. | en |
dc.description.sponsorship | Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) | - |
dc.format.extent | 182-188 | - |
dc.language.iso | eng | - |
dc.source | Currículo Lattes | - |
dc.subject | Hip fractures | en |
dc.subject | Osteoporosis | en |
dc.subject | Quality of health care | en |
dc.subject | Developing countries | en |
dc.subject | Brazil | en |
dc.title | Hip fracture in a developing country: a picture in need of change | en |
dc.type | outro | - |
dc.contributor.institution | Universidade Estadual Paulista (UNESP) | - |
dc.contributor.institution | Universidade Estadual de Campinas (UNICAMP) | - |
dc.contributor.institution | Universidade Federal do Rio de Janeiro (UFRJ) | - |
dc.contributor.institution | Universidade Estadual do Rio de Janeiro (UERJ) | - |
dc.contributor.institution | Instituto Nacional do Câncer (INCA) | - |
dc.description.affiliation | Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP), Faculdade de Medicina de Botucatu (FMB), Departamento de Clínica Médica, Botucatu, SP, Brasil | - |
dc.description.affiliation | Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brasil | - |
dc.description.affiliation | Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brasil | - |
dc.description.affiliation | Universidade Estadual do Rio de Janeiro (UERJ), Faculdade de Ciências Médicas, Rio de Janeiro, RJ, Brasil | - |
dc.description.affiliation | Intituto Nacional do Câncer (INCA), Rio de Janeiro, RJ, Brasil | - |
dc.description.affiliation | Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP), Faculdade de Medicina de Botucatu (FMB), Departamento de Anestesiologia, Botucatu, SP, Brasil | - |
dc.description.affiliationUnesp | Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP), Faculdade de Medicina de Botucatu (FMB), Departamento de Clínica Médica, Botucatu, SP, Brasil | - |
dc.description.affiliationUnesp | Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP), Faculdade de Medicina de Botucatu (FMB), Departamento de Anestesiologia, Botucatu, SP, Brasil | - |
dc.description.sponsorshipId | CNPq: 474845/2001-0 | - |
dc.rights.accessRights | Acesso aberto | - |
dc.identifier.file | ISSN2258-8094-2014-03-03-182-188.pdf | - |
dc.relation.ispartof | Journal of Aging Research & Clinical Practice | - |
dc.identifier.lattes | 1.66286E+15 | - |
Appears in Collections: | Artigos, TCCs, Teses e Dissertações da Unesp |
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