<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1889-836X</journal-id>
<journal-title><![CDATA[Revista de Osteoporosis y Metabolismo Mineral]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Osteoporos Metab Miner]]></abbrev-journal-title>
<issn>1889-836X</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Investigaciones Óseas y Metabolismo Mineral]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1889-836X2018000200002</article-id>
<article-id pub-id-type="doi">10.4321/s1889-836x2018000200002</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fracturas osteoporóticas de cadera en adultos mayores en Ecuador 2016]]></article-title>
<article-title xml:lang="en"><![CDATA[Osteoporotic hip fractures in older adults in Ecuador 2016]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Gavilánez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chedraui]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guerrero Franco]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marriott Blum]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Palacio Riofrío]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Segale Bajaña]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="A01">
<institution><![CDATA[,Hospital Docente de la Policía Nacional Guayaquil Nº 2 Servicio de Endocrinología ]]></institution>
<addr-line><![CDATA[Guayaquil ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="A02">
<institution><![CDATA[,Universidad Católica Santiago de Guayaquil Instituto de Biomedicina ]]></institution>
<addr-line><![CDATA[Guayaquil ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="A03">
<institution><![CDATA[,Hospital Docente de la Policía Nacional Guayaquil Nº 2 Servicio de Medicina Interna ]]></institution>
<addr-line><![CDATA[Guayaquil ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="A04">
<institution><![CDATA[,Omni Hospital Servicio de Endocrinología ]]></institution>
<addr-line><![CDATA[Guayaquil ]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<volume>10</volume>
<numero>2</numero>
<fpage>63</fpage>
<lpage>70</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1889-836X2018000200002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1889-836X2018000200002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1889-836X2018000200002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivos: Conocer la incidencia de fracturas de cadera en Ecuador en el 2016, determinando si hubo variaciones por región geográfica, residencia o estacionalidad.  Materiales y métodos: Estudio epidemiológico, descriptivo y retrospectivo. Se utilizó el Anuario de Egresos Hospitalarios de Ecuador para determinar el número de personas de 60 ó más años hospitalizadas con fractura de cadera desde el 1 de enero hasta el 31 de diciembre de 2016. Para calcular la incidencia por 100.000 habitantes/año se utilizó como denominador la proyección poblacional ecuatoriana de la Comisión Económica para América Latina y el Caribe (CEPAL) para el año 2016. Se calculó la incidencia estandarizada por edad por el método directo usando 2 poblaciones de referencia: 1) la de 60 ó más años para América Latina elaboradas por el Centro Latinoamericano y Caribeño de Demografía (CELADE) en 2016; y 2) con la población de Ecuador del año 2010.  Resultados: Un total de 2.054 personas fueron hospitalizadas con diagnóstico de fractura de cadera (1.470 mujeres y 584 hombres) en el 2016. La incidencia anual cruda fue de 123 casos por 100.000 habitantes/año (74,6 por 100.000 hombres/año y 165,8 por 100.000 mujeres/año). La incidencia ajustada por edad aumentó exponencialmente con la edad en ambos sexos, y en mayor magnitud en las mujeres. La incidencia estandarizada con la población de América Latina fue de 165,4 y 80,1 por 100.000/año, en mujeres y hombres respectivamente. La mortalidad intrahospitalaria fue 5,1% y 3,8% en mujeres y hombres, respectivamente.  Conclusiones: La incidencia de fracturas de cadera es mayor en mujeres que en hombres, existiendo un aumento exponencial con la edad, siendo más evidente después de los 80 años. No hubo diferencias por región geográfica. En comparación con países desarrollados y otros países de América Latina la incidencia de fracturas de cadera fue más baja en Ecuador.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary  Objectives: To ascertain the incidence of hip fractures in Ecuador in 2016, to determine whether there were variations according to geographic region, residence or season of the year.  Materials and methods: Epidemiological, descriptive and retrospective study. The Hospital Discharges Yearbook of Ecuador was used to determine the number of people aged 60 or more hospitalized for hip fracture from January 1 to December 31, 2016. To calculate the incidence per 100,000 inhabitants/year, the Ecuadorian population projection of the Economic Commission for Latin America and the Caribbean (CEPAL) was used as a denominator for the year 2016. The incidence standardized by age was calculated by the direct method using 2 reference populations: 1) the one of 60 or more years for America Latina made by the Latin American and Caribbean Demographic Center (CELADE) in 2016; 2) with the population of Ecuador in 2010.  Results: In total, 2,054 people were hospitalized with hip fracture diagnosis (1,470 women and 584 men) in 2016. The crude annual incidence was 123 cases per 100,000 inhabitants/year (74.6 per 100,000 men/year and 165.8 per 100,000 women/year). The age-adjusted incidence increased exponentially with age in both sexes. It was greater in women. The standardized incidence with with the population of Latin America was 165.4 and 80.1 per 100,000/year, in women and men respectively. In-hospital mortality was 5.1% and 3.8% in women and men, respectively.  Conclusions: The incidence of hip fractures is greater in women than in men, there being an exponential increase with age, more evident after 80 years. There were no differences by geographical region. In comparison with developed countries and other Latin America countries, incidence of hip fractures was lowest in Ecuador.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[fractura de cadera]]></kwd>
<kwd lng="es"><![CDATA[epidemiología]]></kwd>
<kwd lng="es"><![CDATA[incidencia]]></kwd>
<kwd lng="es"><![CDATA[osteoporosis]]></kwd>
<kwd lng="es"><![CDATA[adulto mayor]]></kwd>
<kwd lng="es"><![CDATA[Ecuador]]></kwd>
<kwd lng="en"><![CDATA[hip fracture]]></kwd>
<kwd lng="en"><![CDATA[epidemiology]]></kwd>
<kwd lng="en"><![CDATA[incidence]]></kwd>
<kwd lng="en"><![CDATA[osteoporosis]]></kwd>
<kwd lng="en"><![CDATA[older adults]]></kwd>
<kwd lng="en"><![CDATA[Ecuador]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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