The hospital resource utilization associated with osteoporotic hip fractures in Kermanshah, Iran

Journal of Injury and Violence Research

卷:6

Mandana Beyranvand¹  Zahra Basiri²  Morteza Saeb³  Hassan Haghparast-Bidgoli⁴ 

[1] Department of Internal Medicine, School of Medicine, AJA University of Medical Science, Tehran, Iran.;

[2] Department of Internal Medicine, School of Medicine, Hamedan University of Medical Science, Hamedan, Iran.;

[3] Department of Orthopedic Surgery, Imam Reza Hospital, Kermanshah University of Medical Science, Kermanshah, Iran.;

[4] University College London, Institute for Global Health, London, UK;

关键词: Hospitalization coast;    Hospital length of stay;    Hip fracture;    Osteoporosis;    Iran;   

DOI  :  10.5249/jivr.v6i1.492

来源: DOAJ

【 摘 要 】

Abstract:Background: Hip fracture is the most serious complication of osteoporosis and imposes a significant financial burden on countries' economy. This study aimed to assess the hospitalization costs and length of stay associated with osteoporosis hip fractures and identify the major costcomponents in a referral hospital in Kermanshah city, Iran.Methods: In a prospective study, from May 21 2007 to May 21 2008, all patients with osteoporotic hip fracture admitted to a referral hospital for operation were recruited as thestudy sample. For each patient, information such as age, gender, length of stay (LOS) in hospital and intensive care unit (ICU), medical and diagnostic procedures and cost of surgery and implant were collected both through interview with the patient or a family member and the patients’ hospital records.Results: A total of 103 patients (56 men and 47 women) were studied. The average hospital length of stay (LOS) for the patients was 9.7 days, ranging from 5 to 38 days. The average total hospitalization costs was 7,208,588 IRR (US$774). The main components of the costs were wardstay (16.3%), operative (54.6%), implant (26%) and medical and diagnostic procedures (3.1%).Conclusions: The results of this study demonstrate that the hospital resource burden associated with osteoporotic hip fractures in Iran is substantial and expected to rise with the projected increase of life expectancy and the number of elderly in Iran. Estimating the economic burden ofosteoporotic hip fractures provide information that can be of importance in the planning and design of preventive strategies.

【 授权许可】

Unknown