Burden of disease and trend of osteoporotic fall-related hip fractures in Ecuador: findings from the global burden disease 2021
摘要
Hip fractures in elderly pose signifcant healthcare challenges. Understanding the burden of disease associated with fall-related hip fractures will enable the implementation of measures for prevention and treatment in this vulnerable group.
PurposeThis study aimed to assess the disease burden of fall-related HFs and the national trend in Ecuador from 1990 to 2021.
Materials and methodsUsing data from GBD 2021, the present study demonstrated trends in the incidence, prevalence, and years lived with disability (YLDs) of fall-related HFs in Ecuador with their corresponding 95% uncertainty intervals. A joinpoint regression analysis was conducted to assess trends in the calculated annual percentage changes (APC) and the average annual percentage change (AAPC) with their corresponding 95% confidence interval.
ResultsIn 2021, among all incident cases of fall-related HFs in the population aged 55 years and older in Ecuador, 42% and 58% were men and women, respectively, whereas 47% and 53% were men and women in the population aged 70 years and older, respectively. An estimated number of 8836 new cases of fall-related hip HFs occurred in Ecuador in 2021 (3557.05 in men and 5278.90 in women), resulting in 2287.89 YLDs (1362.22 in women and 925.67 in in women and men, with AAPCs of 1.3% and 1.0%, respectively (p < 0.001). YLDs of fall-related HFs decreased in both men and women, with, AAPCs of − 0.1% and − 0.1%, respectively (p < 0.001).
ConclusionsFall-related HFs represents an important health problem in Ecuador. Incidence and prevalence increased, whereas YLDs decreased in the last three decades. This could reflect improvements in medical care, rehabilitation, and complication prevention after HFs. However, future studies are warranted to better assess and understand the reasons for the changing trends.