[Cost analysis of peritrochanteric fractures according to types of surgical treatment and progressive care from the viewpoint of financial providers].
OBJECTIVE
The aim of this study to calculate the health insurance cost of treatment of patients with pertrochanter fracture of femur from the first hospital admission for 18 months follow up period according to different surgical methods and progressivity levels.


METHODS
Recruitment criteria were: 1) all patients with a hip fracture in 2000 defined by the International Classification of Disease (ICD) as "S7210"; 2) working age between 18-60 and 3) first admission to surgical unit, and had an operation. The cost analyses include the cost of acute and chronic in-patient care, outpatient care and sick pay.


RESULTS
The total costs were the highest in case of those types of operations with lower cost of prothesis device and lower load stability (Ender 588.000 Ft, fix angled plate 534.000 Ft) because of the higher sick-pay costs. The total costs were the lowest in case of those types of operations with higher cost of prothesis device and higher load stability (Gamma 512.000 Ft, DHS 465.000 Ft) because of the lower sick-pay costs. The gain in recovery time with the 3-4 months shorter disability period can be seen in case of operations with higher load stability. The average length of stay decreases from 15-17 days to 9-11 along progressivity levels.


CONCLUSIONS
With the application of load stable prothesis device the total health insurance costs were the lowest at the universities and national institute while these costs proved to be higher.
Sebestyén
Andor
A
Országos Egészségbiztosítási Pénztár, Pécs. sebestyen.andor@dravanet.hu
Boncz
Imre
I
Dózsa
Csaba
C
Nyárády
József
J
D000328:Adult; D003362:Cost-Benefit Analysis; D005260:Female; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000191:economics* / Q000379:methods*; D006620:Hip Fractures / Q000150:complications / Q000191:economics* / Q000601:surgery*; D006801:Humans; D006814:Hungary; D007348:Insurance, Health / Q000191:economics* / Q000706:statistics & numerical data; D007350:Insurance, Hospitalization / Q000191:economics; D007359:Insurance, Surgical / Q000191:economics; D007902:Length of Stay / Q000191:economics* / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged