Endocrine Abstracts

Background: Osteoporotic hip fracture remains a problem of public health concern. Different studies highlighted the existence of a particular epidemiology derived from local differences. We aimed to evaluate the epidemiology of osteoporotic hip fracture in the capital city of Romania plus city suburban area.

Methods: We collected data from over 95 % of fractures from hospitals with an Orthopedic Surgery Department in the area of interest. Patients were selected using the hip fracture codes (S72.0, 1, 2, 3, 7, 8, 9) and age >40 years old, during a 12 months period (09/01/2017–08/31/2018). We included only osteoporotic hip fracture (fall from a standing height or less) after a careful review of all the patients’ medical records.

Results: We included a total of 1896 patients with fragility hip fracture (86.6% in the capital city and 13.4 % in the suburban area). 73.68% were female (mean age of 80.16 ± 9.8 years old) and 26.14 % males (mean age of 75.85 ± 12.2 years). The median body mass index was 23.87 kg/m² with only 21.5 % of the patients being overweight or underweight. Fractures in the femoral neck comprised 36.33 % of the total, intertrochanteric ones 55.74 %, atypical 6.8 % and 0.5 % nonspecific. Out of the total number, only 80.74 % were surgically treated (71.9 % of the femoral neck fracture, 86% of the intertrochanteric fractures and 90.7 % of the atypical ones). The median day of surgery after admission was 3 ± 3.42 days (3.93 ± 4 days for neck fractures and 2 ± 2.94 days for intertrochanteric). 10.91 % of the patients had a history of one or more osteoporotic hip fracture.

Conclusion: This is the first study to describe the epidemiology of osteoporotic hip fracture in Romania after singly reviewing all patients’ charts. Compared with literature data we discovered a very high rate of conservative treated fractures, and also a delayed time of surgery. We need further studies to evaluate the impact of this factors on the mortality rate.