Osteoporosis International

, Volume 18, Issue 2, pp 211–219

Incidence and costs of hip fractures compared to acute myocardial infarction in the Italian population: a 4-year survey

  • P. Piscitelli
  • G. Iolascon
  • F. Gimigliano
  • M. Muratore
  • P. Camboa
  • O. Borgia
  • B. Forcina
  • F. Fitto
  • V. Robaud
  • G. Termini
  • G. B. Rini
  • E. Gianicolo
  • A. Faino
  • M. Rossini
  • S. Adami
  • A. Angeli
  • A. Distante
  • S. Gatto
  • R. Gimigliano
  • G. Guida
  • on the behalf of the SIOMMMS study group and the CERSUM research group
Original Article

DOI: 10.1007/s00198-006-0224-9

Cite this article as:
Piscitelli, P., Iolascon, G., Gimigliano, F. et al. Osteoporos Int (2007) 18: 211. doi:10.1007/s00198-006-0224-9

Abstract

Introduction

Few data are available about the incidence and costs of hip fractures in Italy. We aimed to determine the impact of hip fractures vs. acute myocardial infarction (AMI).

Methods

We studied the national hospitalization database to calculate their incidence and costs in adults aged ≥45 between 1999 and 2002.

Results

In 2002, there were 86,719 hip fractures with a 10.0% increase over 4 years. We observed a predominance of women (77.1%) and a strong age effect: 92.7% of patients were ≥65 years old and 80% of fractures occurred in women aged ≥75, showing a clear relationship with the incidence of osteoporosis. Hospitalizations due to AMI after 45 years of age in 1999 were only 9% higher than those for hip fracture, although this difference increased over the 4 examined years up to 24%. Considering the DRGs costs, hip fractures resulted in being more expensive than AMI overall and concerning elderly people.

Conclusions

This study shows that in the Italian population aged ≥45, hospitalizations following hip fracture and AMI between 1999 and 2002 were comparable, while hip fractures’ direct costs were higher and grew faster than costs for AMI. Hip fractures in Italy are a serious medical problem and a leading health-cost driver.

Keywords

Aging AMI Costs Epidemiology Hip fractures Incidence 

Copyright information

© International Osteoporosis Foundation and National Osteoporosis Foundation 2006

Authors and Affiliations

  • P. Piscitelli
    • 1
  • G. Iolascon
    • 2
  • F. Gimigliano
    • 2
  • M. Muratore
    • 3
  • P. Camboa
    • 4
  • O. Borgia
    • 4
  • B. Forcina
    • 12
  • F. Fitto
    • 5
  • V. Robaud
    • 6
  • G. Termini
    • 7
  • G. B. Rini
    • 7
  • E. Gianicolo
    • 8
  • A. Faino
    • 9
  • M. Rossini
    • 10
  • S. Adami
    • 10
  • A. Angeli
    • 11
  • A. Distante
    • 8
  • S. Gatto
    • 2
  • R. Gimigliano
    • 2
  • G. Guida
    • 2
  • on the behalf of the SIOMMMS study group and the CERSUM research group
  1. 1.University of Pisa, ISBEM Research CenterBrindisiItaly
  2. 2.Department of Orthopaedic Surgery and TraumatologySecond University of NaplesNaplesItaly
  3. 3.Local Health Authority AUSL Lecce/1LecceItaly
  4. 4.Local Health Authority AUSL Lecce/2MaglieItaly
  5. 5.Department of Orthopaedic SurgeryCittà di Lecce HospitalLecceItaly
  6. 6.National Committee for Biosecurity and Biotechnologies, Biorisks GroupRomeItaly
  7. 7.Department of RheumatologyUniversity of PalermoPalermoItaly
  8. 8.National Research Council (CNR)Clinical Physiology InstituteMesagneItaly
  9. 9.Health EconomicsVilla Verde HospitalTarantoItaly
  10. 10.Department of RheumatologyUniversity of VeronaVeronaItaly
  11. 11.Department of Internal MedicineUniversity of TurinTurinItaly
  12. 12.Forcina LaboratoriesGalatinaItaly

Personalised recommendations