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DC Field | Value | Language |
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dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | - |
dc.contributor.author | PASOTO, Sandra G. | - |
dc.contributor.author | YOSHIHARA, Liz A. K. | - |
dc.contributor.author | MAEDA, Lucy C. | - |
dc.contributor.author | BERNIK, Marcia M. S. | - |
dc.contributor.author | LOTUFO, Paulo A. | - |
dc.contributor.author | BONFA, Eloisa | - |
dc.contributor.author | PEREIRA, Rosa M. R. | - |
dc.date.accessioned | 2013-07-30T14:41:56Z | - |
dc.date.available | 2013-07-30T14:41:56Z | - |
dc.date.issued | 2012 | - |
dc.identifier.citation | RHEUMATOLOGY INTERNATIONAL, v.32, n.10, p.3149-3153, 2012 | - |
dc.identifier.issn | 0172-8172 | - |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/496 | - |
dc.description.abstract | Osteoporotic hip fractures (OHF) are not limited to elderly; however, studies in non-elderly are scarce. Thus, the aim of this study was to evaluate co-morbidities in non-elderly patients with OHF in a Community Teaching Hospital. All hospitalizations due to OHF during a 3-year period in a Community Teaching Hospital were retrospectively evaluated for co-morbidities, and patients 18-64 years old were compared with those a parts per thousand yen65 years old. Of all hospitalizations, 232 (0.73%) were due to hip fractures, and 120/232 (51.7%) patients had OHF. The comparison of the 13 (10.8%) OHF patients < 65 years old (47.3 +/- A 9.7 years) with 107 (89.2%) a parts per thousand yen65 years old (80.4 +/- A 7.7 years) revealed a male predominance (61.5 vs. 27.1%, P = 0.022) and a distinct ethnic distribution with a lower proportion of Caucasians in the former (61.5 vs. 86.9%, P = 0.033). Moreover, non-elderly OHF patients had higher frequencies of insulin-dependent DM (38.5 vs. 3.7%, P = 0.001) and alcoholism (38.5 vs. 4.7%, P = 0.001) than aged patients. In contrast, rates of age-related co-morbidities such as stroke (7.7 vs. 18.7%, P = 0.461), heart failure (23.1 vs. 14.0%, P = 0.411), and dementia (7.7 vs. 15.9%, P = 0.689) were comparable in both groups. Logistic regression analysis demonstrated that insulin-dependent DM (OR = 25.4, 95% CI = 4.7-136.8, P < 0.001) and alcoholism (OR = 20.3, 95% CI = 3.9-103.3, P < 0.001) remained as independent risk factors for OHF in non-elderly patients. Osteoporosis is an important cause of HF in Community Hospital. Non-elderly patients with OHF have a peculiar demographic profile and associated co-morbidities. These findings reinforce the need of early osteoporosis diagnosis and rigorous fracture prevention in patients with DM and alcoholism. | - |
dc.language.iso | eng | - |
dc.publisher | SPRINGER HEIDELBERG | - |
dc.relation.ispartof | Rheumatology International | - |
dc.rights | restrictedAccess | - |
dc.subject | Osteoporosis | - |
dc.subject | Osteoporotic hip fractures | - |
dc.subject | Alcoholism | - |
dc.subject | Co-morbidities | - |
dc.subject.other | diabetes-mellitus | - |
dc.subject.other | bone-density | - |
dc.subject.other | risk-factors | - |
dc.subject.other | epidemiology | - |
dc.subject.other | population | - |
dc.subject.other | health | - |
dc.subject.other | prevalence | - |
dc.subject.other | disability | - |
dc.subject.other | therapy | - |
dc.title | Osteoporotic hip fractures in non-elderly patients: relevance of associated co-morbidities | - |
dc.type | article | - |
dc.rights.holder | Copyright SPRINGER HEIDELBERG | - |
dc.identifier.doi | 10.1007/s00296-011-2154-x | - |
dc.identifier.pmid | 21947377 | - |
dc.subject.wos | Rheumatology | - |
dc.type.category | original article | - |
dc.type.version | publishedVersion | - |
hcfmusp.description.beginpage | 3149 | - |
hcfmusp.description.endpage | 3153 | - |
hcfmusp.description.issue | 10 | - |
hcfmusp.description.volume | 32 | - |
hcfmusp.origem | WOS | - |
hcfmusp.origem.id | WOS:000309254000028 | - |
hcfmusp.origem.id | 2-s2.0-84867900042 | - |
hcfmusp.publisher.city | HEIDELBERG | - |
hcfmusp.publisher.country | GERMANY | - |
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dc.description.index | MEDLINE | - |
hcfmusp.lim.ref | 2012 | - |
hcfmusp.citation.scopus | 14 | - |
hcfmusp.scopus.lastupdate | 2024-04-12 | - |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - FM/MCM Artigos e Materiais de Revistas Científicas - HC/ICHC Artigos e Materiais de Revistas Científicas - HU Artigos e Materiais de Revistas Científicas - LIM/17 |
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