Epidemiological comparison between proximal femur fractures in a secondary and a tertiary hospital

Keywords: orthopedics, traumatology, epidemiology, femur, fractures

Abstract

Aim: to compare the occurrence of femur fractures treated in a secondary and in a tertiary hospitals.
Method: the sample of this study consisted of all patients who had fractures of the proximal femur treated at two hospital services, from 2015 to 2017, and the medical records were evaluated.
Results: a greater number of surgeries has been performed at the tertiary hospital, although the secondary hospital patients had the highest number of complications, resulted probably by longer waiting times for the procedure, including surgeries that needed to be scheduled. It is also likely that this fact implied in a longer hospital stay and the need for referral to the Intensive Unit Care in the immediate postoperative period, also observed in secondary hospitals.
Conclusion: these results call attention to the need to reformulate the protocols for the care of patients with proximal fracture of the femur, to solve the problems presented here.

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Author Biographies

Weby Delsin Mizael, Hospital Universitário São Francisco na Providência de Deus (HUSF), Bragança Paulista, SP, Brasil.

Médico, especialista em Ortopedia e Traumatologia no Hospital Universitário São Francisco na Providência de Deus (HUSF), em Bragança Paulista, SP, Brasil.

Leandro Campos Vilela, Hospital Universitário São Francisco na Providência de Deus (HUSF), Bragança Paulista, SP, Brasil.

Médico, especialista em Ortopedia e Traumatologia no Hospital Santa Casa Anna Cintra, em Amparo, SP, Brasil.

Ronaldo Parissi Buainain, Hospital Universitário São Francisco na Providência de Deus (HUSF), Bragança Paulista, SP, Brasil.

Médico, especialista em Ortopedia e Traumatologia no Hospital Universitário São Francisco na Providência de Deus (HUSF), em Bragança Paulista, SP, Brasil.

Nilson Nonose, Hospital Universitário São Francisco na Providência de Deus (HUSF), Bragança Paulista, SP, Brasil.

Médico, especialista em ortopedia e Traumatologia. Preceptor Médico do Serviço de Ortopedia e Traumatologia do Hospital Universitário São Francisco na Providência de Deus (HUSF), em Bragança Paulista, SP, Brasil.

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Published
2021-09-17
How to Cite
Mizael, W. D., Vilela, L. C., Buainain, R. P., & Nonose, N. (2021). Epidemiological comparison between proximal femur fractures in a secondary and a tertiary hospital. Scientia Medica, 31(1), e39421. https://doi.org/10.15448/1980-6108.2021.139421