TY  - JOUR
PY  - 2014//
TI  - Ten years of hip fractures in Italy: for the first time a decreasing trend in elderly women
JO  - World J Orthop
A1  - Piscitelli, Prisco
A1  - Feola, Maurizio
A1  - Rao, Cecilia
A1  - Celi, Monica
A1  - Gasbarra, Elena
A1  - Neglia, Cosimo
A1  - Quarta, Giuseppe
A1  - Liuni, Federico Maria
A1  - Parri, Simone
A1  - Iolascon, Giovanni
SP  - 386
EP  - 391
VL  - 5
IS  - 3
N2  - AIM: To evaluate the hospitalization rate of femoral neck fractures in the elderly Italian population over ten years. <br><br>METHODS: We analyzed national hospitalizations records collected at central level by the Ministry of Health from 2000 to 2009. Age- and sex-specific rates of fractures occurred at femoral neck in people ≥ 65 years old. We performed a sub-analysis over a three-year period (2007-2009), presenting data per five-year age groups, in order to evaluate the incidence of the hip fracture in the oldest population. <br><br>RESULTS: We estimated a total of 839008 hospitalizations due to femoral neck fractures between 2000 and 2009 in people ≥ 65, with an overall increase of 29.8% over 10 years. The incidence per 10000 inhabitants remarkably increased in people ≥ 75, passing from 158.5 to 166.8 (+5.2%) and from 72.6 to 77.5 (+6.8%) over the ten-year period in women and men, respectively. The oldest age group (people > 85 years old) accounted for more than 42% of total hospital admissions in 2009 (n = 39000), despite representing only 2.5% of the Italian population. Particularly, women aged > 85 accounted for 30.8% of total fractures, although they represented just 1.8% of the general population. The results of this analysis indicate that the incidence of hip fractures progressively increased from 2000 to 2009, but a reduction can be observed for the first time in women ≤ 75 (-7.9% between 2004 and 2009). <br><br>CONCLUSION: Incidence of hip fractures in Italy are continuously increasing, although women aged 65-74 years old started showing a decreasing trend. <br><br>KEYWORDS: Femoral fractures, Hip fragility fractures, Osteoporosis, Hospitalizations, Incidence<p />  <p>Language: en</p>
LA  - en
SN  - 2218-5836
UR  - http://dx.doi.org/10.5312/wjo.v5.i3.386
ID  - ref1
ER  -