Costs and outcomes of hip fracture and stroke, 1984 to 1994.
OBJECTIVE
This study quantified changes in Medicare payments and outcomes for hip fracture and stroke from 1984 to 1994.


METHODS
We studied National Long Term Care Survey respondents who were hospitalized for hip fracture (n = 887) or stroke (n = 878) occurring between 1984 and 1994. Changes in Medicare payment and survival were primary outcomes. We also assessed changes in functional and cognitive status.


RESULTS
Medicare payments within 6 months increased following hip fracture (103%) or stroke (51%). Survival improved for stroke (P < .001) and to a lesser extent for hip fracture (P = .16). Condition-specific improvements were found in functional and cognitive status.


CONCLUSIONS
During the period 1984 to 1994, Medicare payments for hip fracture and stroke rose and there were some improvements in survival and other outcomes.
Sloan
F A
FA
Center for Health Policy, Law and Management, Terry Sanford Institute of Public Policy, Duke University, Durham, NC 27708, USA. fsloan@hpolicy.duke.edu
Taylor
D H
DH
Picone
G
G
D000203:Activities of Daily Living; D002561:Cerebrovascular Disorders / Q000150:complications / Q000191:economics* / Q000401:mortality*; D003071:Cognition; D017048:Health Care Costs / Q000706:statistics & numerical data* / Q000639:trends*; D006620:Hip Fractures / Q000150:complications / Q000191:economics* / Q000401:mortality*; D006760:Hospitalization / Q000191:economics* / Q000639:trends*; D006801:Humans; D007344:Insurance Claim Reporting; D016015:Logistic Models; D008137:Longitudinal Studies; D006278:Medicare / Q000191:economics* / Q000639:trends*; D016016:Proportional Hazards Models; D016019:Survival Analysis; D016896:Treatment Outcome; D014481:United States