title: Ten years of hip fractures in Italy: For the first time a decreasing trend in elderly women.
abstract: OBJECTIVE
  To evaluate the hospitalization rate of femoral neck fractures in the elderly Italian population over ten years.
  
  
  METHODS
  We analyzed national hospitalizations records collected at central level by the Ministry of Health from 2000 to 2009. Age- and sex-specific rates of fractures occurred at femoral neck in people ≥ 65 years old. We performed a sub-analysis over a three-year period (2007-2009), presenting data per five-year age groups, in order to evaluate the incidence of the hip fracture in the oldest population.
  
  
  RESULTS
  We estimated a total of 839008 hospitalizations due to femoral neck fractures between 2000 and 2009 in people ≥ 65, with an overall increase of 29.8% over 10 years. The incidence per 10000 inhabitants remarkably increased in people ≥ 75, passing from 158.5 to 166.8 (+5.2%) and from 72.6 to 77.5 (+6.8%) over the ten-year period in women and men, respectively. The oldest age group (people > 85 years old) accounted for more than 42% of total hospital admissions in 2009 (n = 39000), despite representing only 2.5% of the Italian population. Particularly, women aged > 85 accounted for 30.8% of total fractures, although they represented just 1.8% of the general population. The results of this analysis indicate that the incidence of hip fractures progressively increased from 2000 to 2009, but a reduction can be observed for the first time in women ≤ 75 (-7.9% between 2004 and 2009).
  
  
  CONCLUSIONS
  Incidence of hip fractures in Italy are continuously increasing, although women aged 65-74 years old started showing a decreasing trend.
authors.affiliation: Prisco Piscitelli, Cosimo Neglia, Giuseppe Quarta, Alessandro Distante, Euro Mediterranean Scientific Biomedical Institute, ISBEM Research Centre, 72023 Brindisi, Italy.
authors.forename: Prisco
authors.initials: P
authors.lastname: Piscitelli
authors.affiliation: Prisco Piscitelli, Cosimo Neglia, Giuseppe Quarta, Alessandro Distante, Euro Mediterranean Scientific Biomedical Institute, ISBEM Research Centre, 72023 Brindisi, Italy.
authors.forename: Maurizio
authors.initials: M
authors.lastname: Feola
authors.affiliation: Prisco Piscitelli, Cosimo Neglia, Giuseppe Quarta, Alessandro Distante, Euro Mediterranean Scientific Biomedical Institute, ISBEM Research Centre, 72023 Brindisi, Italy.
authors.forename: Cecilia
authors.initials: C
authors.lastname: Rao
authors.affiliation: Prisco Piscitelli, Cosimo Neglia, Giuseppe Quarta, Alessandro Distante, Euro Mediterranean Scientific Biomedical Institute, ISBEM Research Centre, 72023 Brindisi, Italy.
authors.forename: Monica
authors.initials: M
authors.lastname: Celi
authors.affiliation: Prisco Piscitelli, Cosimo Neglia, Giuseppe Quarta, Alessandro Distante, Euro Mediterranean Scientific Biomedical Institute, ISBEM Research Centre, 72023 Brindisi, Italy.
authors.forename: Elena
authors.initials: E
authors.lastname: Gasbarra
authors.affiliation: Prisco Piscitelli, Cosimo Neglia, Giuseppe Quarta, Alessandro Distante, Euro Mediterranean Scientific Biomedical Institute, ISBEM Research Centre, 72023 Brindisi, Italy.
authors.forename: Cosimo
authors.initials: C
authors.lastname: Neglia
authors.affiliation: Prisco Piscitelli, Cosimo Neglia, Giuseppe Quarta, Alessandro Distante, Euro Mediterranean Scientific Biomedical Institute, ISBEM Research Centre, 72023 Brindisi, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Quarta
authors.affiliation: Prisco Piscitelli, Cosimo Neglia, Giuseppe Quarta, Alessandro Distante, Euro Mediterranean Scientific Biomedical Institute, ISBEM Research Centre, 72023 Brindisi, Italy.
authors.forename: Federico Maria
authors.initials: FM
authors.lastname: Liuni
authors.affiliation: Prisco Piscitelli, Cosimo Neglia, Giuseppe Quarta, Alessandro Distante, Euro Mediterranean Scientific Biomedical Institute, ISBEM Research Centre, 72023 Brindisi, Italy.
authors.forename: Simone
authors.initials: S
authors.lastname: Parri
authors.affiliation: Prisco Piscitelli, Cosimo Neglia, Giuseppe Quarta, Alessandro Distante, Euro Mediterranean Scientific Biomedical Institute, ISBEM Research Centre, 72023 Brindisi, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Iolascon
authors.affiliation: Prisco Piscitelli, Cosimo Neglia, Giuseppe Quarta, Alessandro Distante, Euro Mediterranean Scientific Biomedical Institute, ISBEM Research Centre, 72023 Brindisi, Italy.
authors.forename: Maria Luisa
authors.initials: ML
authors.lastname: Brandi
authors.affiliation: Prisco Piscitelli, Cosimo Neglia, Giuseppe Quarta, Alessandro Distante, Euro Mediterranean Scientific Biomedical Institute, ISBEM Research Centre, 72023 Brindisi, Italy.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Distante
authors.affiliation: Prisco Piscitelli, Cosimo Neglia, Giuseppe Quarta, Alessandro Distante, Euro Mediterranean Scientific Biomedical Institute, ISBEM Research Centre, 72023 Brindisi, Italy.
authors.forename: Umberto
authors.initials: U
authors.lastname: Tarantino
keywords: Femoral fractures; Hip fragility fractures; Hospitalizations; Incidence; Osteoporosis