Epidemiological and etiological factors of various fractures and its pharamacological treatment options in a tertiary care teaching hospital - a prospective cohort study

Charitha Noona; Sandhya Rani M; V.Samatha Reddy D; Lakshmi K; Sivaram Pathi

doi:10.38022/ajhp.v4i3.89

Noona Charitha Department of Pharmacy Practice, Sri Lakshmi Venkateshwara Institute of Pharmaceutical Sciences, Proddatur, Andhra Pradesh, India.
saicharithanoona@gmail.com
M.Sandhya Rani Department of Pharmacy Practice, Sri Lakshmi Venkateshwara Institute of Pharmaceutical Sciences, Proddatur, Andhra Pradesh, India.
D.V.Samatha Reddy Department of Pharmacy Practice, Sri Lakshmi Venkateshwara Institute of Pharmaceutical Sciences, Proddatur, Andhra Pradesh, India.
K. Lakshmi Department of Pharmacy Practice, Sri Lakshmi Venkateshwara Institute of Pharmaceutical Sciences, Proddatur, Andhra Pradesh, India.
Pathi Sivaram Department of Pharmacy Practice, Sri Lakshmi Venkateshwara Institute of Pharmaceutical Sciences, Proddatur, Andhra Pradesh, India.

DOI https://doi.org/10.38022/ajhp.v4i3.89

Abstract

A fracture is a broken bone that can range from a thin crack to a complete break bone. A fracture can occur crosswise, length wise in several parts and in too many pieces. Causes of fracture include physical trauma, accidental fall, sports injuries, stress, and osteoporosis. Fractures can be treated with Medications and lifestyle changes. The objective of the study was to identify common types of fractures mostly affected by people, reduce the incidence rate of fractures and to provide patient counseling regarding precautionary measures to avoid accidents and assaults. In the study period, 120 fracture cases were collected, of this 64 (53.33%) are males and 56 (46.66%) are females. Higher incidence of fractures 27 (22.5%) occurred in 50-60 years of age group. Major fractures 48 (47.5%) were occurred due to trauma. 21 (17.5%) were diagnosed by X-rays, 15 (14.5%) patients are diagnosed by CT scan. 22 (18.33%) patients are categorized under femur bone fractures. 52(43.3%) patients were treated with NSAIDS, 33 (27.5%) patients were treated with antibiotics. 29.33% were treated with vitamins and mineral supplements. The study concludes that out of 120 study subjects, major fractures were occurred due to trauma. Clinical pharmacists and other health care professionals intervention to create awareness regarding fractures, medications, lifestyle modifications and other safety measures helps them to recover faster from fractures.

Keywords: Fracture, Trauma, Vitamins and Mineral supplements, NSAIDS, patient counseling

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References

1. Klein J, Hey L, Yu CS, Klein BB, Coufal FJ, Young EP, et al. Correlation between nutritional status and clinical results in patients undergoing spinal surgery at Perioperative nutrition and postoperative complications in patients undergoing spinal surgery. Spine. 1996; 21(22):2676-82.
2. Kigera J, Shamim M. Prevalence and patterns of traumatic bone loss following open long bone fractures at Mulago Hospital at. Antibiotic prescription patterns in the management of open fractures at Mulago Hospital in Kampala. East Cent AfrJSurg.2012; 17:47–50.
3. Miloro M, Ghali GE, Larsen PE, Waite P. Fracture patterns in the maxillofacial region: a four-year retrospective study. at Peterson's principles of oral and maxillofacial surgery. 3rd ed. Shelton: People’s Medical Publishing House-USA; 2012.
4. Chen W, Lv H, Liu S, Liu B, Zhu Y, Chen X, et al. Incidence and Pattern of Extremity Fractures seen in Accident and Emergency Department of a Nigerian Teaching Hospital at National incidence of traumatic fractures in China: A retrospective survey of 512 187 individuals. Lancet Glob Health 2017; 5:e807-17.
5. Weber CD, Hildebrand F, Kobbe P, Lefering R, Sellei RM, Pape HC, et al Epidemiology of open tibia fractures in a population-based database: Update on current risk factors and clinical implications Eur J Trauma Emerg Surg. 2019;45:445–53
6. Hadji P, Hardtstock F, Wilke T, et al. Effect of Age on the Patterns of Traumatic Femoral Fractures: Seven Years of Experience at a Regional Tertiary Hospital at Estimated epidemiology of osteoporosis diagnoses and osteoporosis-related high fracture risk in Germany: a German claims data analysis. Arch Osteoporos. 2020; 15(1):127.
7. Naranjo SM, Erali RA, Warner WC Jr, et al. Incidence patterns of traumatic upper limb fractures in children and adolescents Data from medical university-affiliated hospitals in Chongqing, China at Epidemiology of pediatric fractures presenting to emergency departments in the United States. J Pediatr Orthop 2016; 36:e45–8.
8. Smith EJ, Kuang X, Pandarinath R. Comparing hospital outcomes between open and closed tibia fractures treated with intramedullary fixation Injury. 2017;48:1609–12.
9. Raghavendra TS, Jaipalsinh RM. A study of outcome of reamed intramedullary interlocking nailing in type I and type II open fractures of shaft of tibia Int J Orthop Sci. 2016;2:01–7.
10. Seron S, Rasool MN. Outcomes of intramedullary nailing for open fractures of the tibial shaft SA Orthop J. 2018;17:24–9.