Costes inducidos por fractura de cadera… (Inglés)

P. Autier A1, P. Haentjens A2, J. Bentin A3, J. M. Baillon A4, A. R. Grivegnée A5, M. C. Closon A6, S. Boonen A7

A1 Division of Epidemiology and Biostatistics, European Institute of Oncology, Milan, Italy A2 Department of Orthopedics and Traumatology, Academisch Ziekenhuis VUB, Belgium A3 Service of Rheumatology, Louis Cathy Hospital, Baudourt, Belgium A4 Department of Orthopedics, Ixelles-Etterbeek Hospital, Brussels, Belgium A5 Unit of Epidemiology and Prevention of Cancer, Jules Bordet Institute, Brussels, Belgium A6 Interdisciplinary Center in Health Economics, Universite´ Catholique de Louvain, Brussels, Belgium; A7 Leuven University Center for Metabolic Bone Diseases and Division of Geriatric Medicine, Katholieke Universiteit Leuven, Leuven, Belgium

Abstract:

Abstract: The economic burden of hip fractures is thought to be important, but the excess medical costs they induce remain largely unknown. We assessed the direct medical costs induced by hip fractures during and after hospitalization. Hospital costs of 170 consecutive Belgian women with hip fracture were gathered. During the year following discharge, all medical costs were collected for the 159 hip fracture women who survived the acute hospitalization stay. A similar collection of data was performed on a comparison group of 159 age-and residence-matched women without a history of hip fracture. The mean cost of the acute hospital stay was C8667, and the mean 1-year hip-fracture-related extra costs after hospitalization was C6636. During the year following the acute hospital stay, 19% of the hip fracture women and 4% of the comparison women were newly admitted to nursing homes (p<0.001). Although health care costs increased with age, hip-fracture-related extra costs after hospitalization seemed similar in those below or above 81 years old. These extra costs amounted to C7710 in women not living in nursing homes at the time of fracture, and to C3479 in women who lived in nursing homes. Health or mental status before hip fracture seemed not to affect extra costs. Taking into account the higher mortality of women with hip fracture, the extra costs during the acute hospital stay and during the 1-year follow-up amounted to a mean C 15151. In conclusion, both acute hospital stays and subsequent medical care contribute significantly to medical costs induced by hip fractures.