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Trends in Fracture-Related Hospitalizations and Mortality in Brazil, 2015-2024
Palloma Porto Almeida1, Danielle Cabral Bonfim1
1Laboratory of Stem Cells and Bone Regeneration, Institute of Biomedical Sciences, Federal University of Rio de Janeiro, Rio de Janeiro 21941-902, Brazil.
Epidemiologia (Basel, Switzerland)
|May 27, 2026
Summary
Bone fracture hospitalizations are rising in Brazil, with distinct patterns by sex, age, and region. These findings underscore the need for targeted prevention and improved trauma care strategies.
Area of Science:
- Public Health
- Epidemiology
- Trauma Care
Background:
- Bone fractures are a significant global public health issue.
- Limited national epidemiological data exists for Brazil.
- Understanding trends is crucial for prevention and resource allocation.
Purpose of the Study:
- To analyze bone fracture hospitalizations and mortality in Brazil from 2015-2024.
- To examine trends by sex, age, fracture type, and geographic/ethnic distribution.
- To inform prevention and trauma care strategies.
Main Methods:
- Ecological study using Hospital Information System (SIH/SUS) and IBGE data.
- Calculated hospitalization rates, case fatality rates (CFR), and Years of Life Lost (YLL).
- Analyzed temporal trends using Annual Percent Change (APC).
Main Results:
- Other limb fractures were most common; femur fractures had highest lethality.
- Men had higher hospitalization rates (high-energy trauma); women showed increased femur fractures at older ages.
- Significant geographic (North/Northeast) and ethnic (Brown, Indigenous) disparities observed.
Conclusions:
- Fracture hospitalizations in Brazil show consistent increases with varied patterns.
- Distinct epidemiological profiles exist across demographic and regional groups.
- Findings emphasize the need for tailored prevention and enhanced trauma care.
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