Decreasing incidence rates of osteoporotic hip fractures in Ecuador during the COVID-19 pandemic

Enrique Lopez Gavilanez; Manuel Navarro Chávez; Antonio W D Gavilanes; Roberto Cedeño German; Peter Chedraui

doi:10.1007/s11657-022-01202-w

Decreasing incidence rates of osteoporotic hip fractures in Ecuador during the COVID-19 pandemic

Enrique Lopez Gavilanez^*, Manuel Navarro Chávez, Antonio W D Gavilanes, Roberto Cedeño German, Peter Chedraui

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

UNLABELLED: We aimed at comparing the incidence of hip fractures in older adults from Ecuador before and during the COVID-19 pandemic. There was a significant reduction in the number of hip fractures, with no change in the length of hospital stay, mortality, and case-fatality rate, during the period of social isolation.

INTRODUCTION: The impact that the COVID-19 pandemic has had on fragility fractures is being recently evaluated in the literature. Despite this, data from Latin America in this regard is scarce.

PURPOSE: This study aims to compare the incidence rate of hip fractures before and during the COVID-19 pandemic in older adults who received care in the public and private health system of Ecuador.

METHODS: This was a descriptive and retrospective study that analyzed data of individuals aged 60 years and older who had hip fractures before and during the COVID-19 pandemic. The information was obtained from the National Hospital Discharge Yearbook. We calculated the incidence, average length of hospital stay, mortality, and case-fatality rate associated with hip fractures.

RESULTS: There was a significant reduction in the incidence of hip fractures in adults 60 or older during the period of social isolation due to COVID-19. Between March and December 2019, there was an incidence of 152 hip fractures per 100,000 inhabitants, whereas during the same period but in 2020 in the incidence was 110 per 100,000 inhabitants (p < 0.0001). The main decrease was observed in women aged 80 or more. The average length of hospital stay did not show significant changes. Mortality displayed a non-significant decrease (p = 0.14), although this decrease was significant among women (p = 0.02). Case-fatality rate showed a non-significant increase for the whole group (p = 0.68) and for men (p = 0.09).

CONCLUSION: Hip fracture rates decreased significantly in adults aged 60 and older in 2020 compared to 2019. This decrease of hip fracture incidence rates was mainly due to the reductions observed in older people and women. The average length of hospital stay, mortality, and case-fatality rate associated with hip fractures did not show significant changes during the pandemic.

Original language	English
Article number	15
Number of pages	7
Journal	Archives of Osteoporosis
Volume	18
Issue number	1
DOIs	https://doi.org/10.1007/s11657-022-01202-w
Publication status	Published - 27 Dec 2022

Keywords

Male
Humans
Female
Middle Aged
Aged
Incidence
Pandemics
Ecuador/epidemiology
Retrospective Studies
COVID-19/epidemiology
Hip Fractures/epidemiology
Osteoporotic Fractures/epidemiology

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10.1007/s11657-022-01202-w

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9793355Licence: Other

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@article{7182c24abff04a66b031ff391077d036,

title = "Decreasing incidence rates of osteoporotic hip fractures in Ecuador during the COVID-19 pandemic",

abstract = "UNLABELLED: We aimed at comparing the incidence of hip fractures in older adults from Ecuador before and during the COVID-19 pandemic. There was a significant reduction in the number of hip fractures, with no change in the length of hospital stay, mortality, and case-fatality rate, during the period of social isolation.INTRODUCTION: The impact that the COVID-19 pandemic has had on fragility fractures is being recently evaluated in the literature. Despite this, data from Latin America in this regard is scarce.PURPOSE: This study aims to compare the incidence rate of hip fractures before and during the COVID-19 pandemic in older adults who received care in the public and private health system of Ecuador.METHODS: This was a descriptive and retrospective study that analyzed data of individuals aged 60 years and older who had hip fractures before and during the COVID-19 pandemic. The information was obtained from the National Hospital Discharge Yearbook. We calculated the incidence, average length of hospital stay, mortality, and case-fatality rate associated with hip fractures.RESULTS: There was a significant reduction in the incidence of hip fractures in adults 60 or older during the period of social isolation due to COVID-19. Between March and December 2019, there was an incidence of 152 hip fractures per 100,000 inhabitants, whereas during the same period but in 2020 in the incidence was 110 per 100,000 inhabitants (p < 0.0001). The main decrease was observed in women aged 80 or more. The average length of hospital stay did not show significant changes. Mortality displayed a non-significant decrease (p = 0.14), although this decrease was significant among women (p = 0.02). Case-fatality rate showed a non-significant increase for the whole group (p = 0.68) and for men (p = 0.09).CONCLUSION: Hip fracture rates decreased significantly in adults aged 60 and older in 2020 compared to 2019. This decrease of hip fracture incidence rates was mainly due to the reductions observed in older people and women. The average length of hospital stay, mortality, and case-fatality rate associated with hip fractures did not show significant changes during the pandemic.",

keywords = "Male, Humans, Female, Middle Aged, Aged, Incidence, Pandemics, Ecuador/epidemiology, Retrospective Studies, COVID-19/epidemiology, Hip Fractures/epidemiology, Osteoporotic Fractures/epidemiology",

author = "{Lopez Gavilanez}, Enrique and {Navarro Ch{\'a}vez}, Manuel and Gavilanes, {Antonio W D} and {Cede{\~n}o German}, Roberto and Peter Chedraui",

note = "{\textcopyright} 2022. International Osteoporosis Foundation and Bone Health and Osteoporosis Foundation.",

year = "2022",

month = dec,

day = "27",

doi = "10.1007/s11657-022-01202-w",

language = "English",

volume = "18",

journal = "Archives of Osteoporosis",

issn = "1862-3522",

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T1 - Decreasing incidence rates of osteoporotic hip fractures in Ecuador during the COVID-19 pandemic

AU - Lopez Gavilanez, Enrique

AU - Navarro Chávez, Manuel

AU - Gavilanes, Antonio W D

AU - Cedeño German, Roberto

AU - Chedraui, Peter

PY - 2022/12/27

Y1 - 2022/12/27

N2 - UNLABELLED: We aimed at comparing the incidence of hip fractures in older adults from Ecuador before and during the COVID-19 pandemic. There was a significant reduction in the number of hip fractures, with no change in the length of hospital stay, mortality, and case-fatality rate, during the period of social isolation.INTRODUCTION: The impact that the COVID-19 pandemic has had on fragility fractures is being recently evaluated in the literature. Despite this, data from Latin America in this regard is scarce.PURPOSE: This study aims to compare the incidence rate of hip fractures before and during the COVID-19 pandemic in older adults who received care in the public and private health system of Ecuador.METHODS: This was a descriptive and retrospective study that analyzed data of individuals aged 60 years and older who had hip fractures before and during the COVID-19 pandemic. The information was obtained from the National Hospital Discharge Yearbook. We calculated the incidence, average length of hospital stay, mortality, and case-fatality rate associated with hip fractures.RESULTS: There was a significant reduction in the incidence of hip fractures in adults 60 or older during the period of social isolation due to COVID-19. Between March and December 2019, there was an incidence of 152 hip fractures per 100,000 inhabitants, whereas during the same period but in 2020 in the incidence was 110 per 100,000 inhabitants (p < 0.0001). The main decrease was observed in women aged 80 or more. The average length of hospital stay did not show significant changes. Mortality displayed a non-significant decrease (p = 0.14), although this decrease was significant among women (p = 0.02). Case-fatality rate showed a non-significant increase for the whole group (p = 0.68) and for men (p = 0.09).CONCLUSION: Hip fracture rates decreased significantly in adults aged 60 and older in 2020 compared to 2019. This decrease of hip fracture incidence rates was mainly due to the reductions observed in older people and women. The average length of hospital stay, mortality, and case-fatality rate associated with hip fractures did not show significant changes during the pandemic.

AB - UNLABELLED: We aimed at comparing the incidence of hip fractures in older adults from Ecuador before and during the COVID-19 pandemic. There was a significant reduction in the number of hip fractures, with no change in the length of hospital stay, mortality, and case-fatality rate, during the period of social isolation.INTRODUCTION: The impact that the COVID-19 pandemic has had on fragility fractures is being recently evaluated in the literature. Despite this, data from Latin America in this regard is scarce.PURPOSE: This study aims to compare the incidence rate of hip fractures before and during the COVID-19 pandemic in older adults who received care in the public and private health system of Ecuador.METHODS: This was a descriptive and retrospective study that analyzed data of individuals aged 60 years and older who had hip fractures before and during the COVID-19 pandemic. The information was obtained from the National Hospital Discharge Yearbook. We calculated the incidence, average length of hospital stay, mortality, and case-fatality rate associated with hip fractures.RESULTS: There was a significant reduction in the incidence of hip fractures in adults 60 or older during the period of social isolation due to COVID-19. Between March and December 2019, there was an incidence of 152 hip fractures per 100,000 inhabitants, whereas during the same period but in 2020 in the incidence was 110 per 100,000 inhabitants (p < 0.0001). The main decrease was observed in women aged 80 or more. The average length of hospital stay did not show significant changes. Mortality displayed a non-significant decrease (p = 0.14), although this decrease was significant among women (p = 0.02). Case-fatality rate showed a non-significant increase for the whole group (p = 0.68) and for men (p = 0.09).CONCLUSION: Hip fracture rates decreased significantly in adults aged 60 and older in 2020 compared to 2019. This decrease of hip fracture incidence rates was mainly due to the reductions observed in older people and women. The average length of hospital stay, mortality, and case-fatality rate associated with hip fractures did not show significant changes during the pandemic.

KW - Male

KW - Humans

KW - Female

KW - Middle Aged

KW - Aged

KW - Incidence

KW - Pandemics

KW - Ecuador/epidemiology

KW - Retrospective Studies

KW - COVID-19/epidemiology

KW - Hip Fractures/epidemiology

KW - Osteoporotic Fractures/epidemiology

U2 - 10.1007/s11657-022-01202-w

DO - 10.1007/s11657-022-01202-w

M3 - Article

C2 - 36574063

SN - 1862-3522

VL - 18

JO - Archives of Osteoporosis

JF - Archives of Osteoporosis

IS - 1

M1 - 15

ER -

Decreasing incidence rates of osteoporotic hip fractures in Ecuador during the COVID-19 pandemic

Abstract

Keywords

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