Cost analysis of hip fracture treatment among the elderly for the public health services: a 1-year prospective study in 106 consecutive patients
- 331 Downloads
The most serious complication resulting from osteoporosis is fracture of the hip. This injury often has serious consequences for the patient, because it is linked to a considerable level of mortality and deterioration of functional capacity.
Materials and methods
The data from 106 consecutive patients with a hip fracture were registered for 1 year following the fracture by trained nurses in an area of six municipalities and 92,500 inhabitants. The total costs of these patients were calculated per patient, including the costs of acute and post-acute care and rehabilitation, home assistance and home care, outpatient visits, assistive devices, transportation, medication, and forensic autopsies as well as the patients' own share of the treatment costs. The costs were calculated according to the 2003 price level.
The average costs during the first post-fracture year were around €14,410. Slightly less than one-fourth of these costs was caused by acute care. If a previously home-dwelling patient had to be admitted to permanent institutional care after the fracture, the average costs rose to €35,700. The centralisation of post-acute rehabilitation lowered the amount of the total costs.
The average 1-year total costs of a patient with a hip fracture were €14,410. About one-fourth of the costs were caused by acute care. The centralisation of post-acute rehabilitation was profitable.
KeywordsHip fracture Rehabilitation Cost analysis
We would like to thank the Medical Research Fund of Kymenlaakso Health Care District, the Provincial State Office of Southern Finland, the Kymi Ltd Foundation, the Medical Society of Kouvola Region and the Finnish Nursing Education Foundation for the financial support for this study.
- 5.Cameron ID, Lyle DM, Quine S (1993) Accelerated rehabilitation after proximal femoral fracture: a randomized controlled trial. Disability Rehab 15:29–34Google Scholar
- 8.Cooper C, Campion G, Melton LJ 3rd (1992) Hip fractures in the elderly: a worldwide projection. Osteoporosis Int 2:285–289Google Scholar
- 10.Haentjens P, Autier P, Barette M, Boonen S (2001) The economic cost of hip fractures among elderly women. J Bone Joint Surg Am 83:493–500Google Scholar
- 18.Lüthje P, Nurmi I, Palvanen M, Kannus P (2001) The epidemiology and prevention of hip fractures (in Finnish). Suom Lääkäril 14:1615–1619Google Scholar
- 22.Sernbo I, Johnell O (1993) Consequences of a hip fracture: a prospective study over 1 year. Osteoporosis Int 3:148–153Google Scholar
- 24.Youm T, Koval KJ, Zuckerman JD (1999) The economic impact of geriatric hip fractures. Am J Orthop 28:423–428Google Scholar
- 25.Vaz AL (1993) Epidemiology and costs of osteoporotic hip fractures in Portugal. Bone 14 [Suppl 1]:S9Google Scholar