Epidemiologia de doentes internados com fraturas do rádio distal em Portugal e tendências de tratamento entre 2000-2014

Abstract

Introduction This study aims to assess the epidemiology of hospital-admitted patients with distal radius fractures (DRF) in Portugal from 2000 to 2014, evaluate treatment patterns and differences among hospital levels. Materials and Methods Retrospective study including all patients admitted to Portuguese public health service hospitals from 2000-2014. Treatments and diagnosis were identified using ICD-9CM codes. Differences among hospital levels were assessed. Results 23964 records were retrieved (mean age 41,65y, 56,9% male). Overall number of fractures increased form 2000-2014. Men were more affected among young and adults, but less in the elderly group. Increasing age was associated with increased likelihood of open fractures (OF). These were less likely in men. Closed reduction (CR) was more common than open reduction (OpR), independently of age. OpR increased over the years, with higher odds in adults and elderly, versus young. Odds for CR were 1,58 and 1,96 when comparing level 1 and 2 with 3 hospitals, respectively. Mean hospital stay was 6.06±15.23 days, higher with OpR, OF or level 3 hospitals. Each associated fracture resulted in mean increase in length of stay of 7.33 days. Discussion Treatment of inpatients with DRF differ according to the hospital level of admission. As showed previously in other countries, there is a tendency to an increase in OpR and Internal Fixation. Conclusion Admissions due to DRF are increasing, predominantly in young and adult men and old women, with a rising tendency for OpR. CR was preferred in lower classified hospitals. Associated lesions increased significantly the length of stay.