Epidemiology of Orthopedic Trauma Admissions Over Year 2017 and First Quarter Year 2018 in the General Hospital H+ in Queretaro Mexico

Jose Carrillo-Gamboa, L.^*, Alfonso Martinez-Flores

Department of Traumatology and Orthopedic Surgery, Regenerative Medicine Center, Queretaro, Mexico

Jose Carrillo-Gamboa, L., Department of Traumatology and Orthopedic Surgery, Regenerative Medicine Center, Queretaro, Mexico.

Keywords: Orthopedic Trauma; Epidemiological Studies; Fragility Fractures; Demography

Abstract

Background
The dynamics of demography in México 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 200 patients presented in the Emergency Unit, 49 patients were admitted in Orthopedic Service. Data of 49 medical records showed the most common age groups was 50 to 59 (male 31.3% - female 30.3%). The more frequent factures were in upper limbs (male 37.5% - female 45.5%), lower limbs (male 25.0% - female 24.2%) and hip (male 18.8% - female 18.2%). Most common mechanism of trauma was fall (male 56.3% - female 69.7%) 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 two patients 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 operative criteria issued by international health entities.

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