Cost analysis of osteoporotic hip fractures.
OBJECTIVE
To assess the total costs of hip fracture treatment subsequently incurred in 1 year


METHODS
A cohort study was conducted from January 1, 2002 to December 31, 2004. All new osteoporotic hip fracture patients were enrolled with informed consent. A total cost was estimated, and multivariate analysis was performed to determine factors related to costs.


RESULTS
A total of 37 patients were included. Average age was 75 +/- 11.8 years. Four of them (11%) died. Median total cost of hip fracture treatment in 1 year was 116,458.6 Baht (range 21,428.5-5,070,665.0). Median direct cost was 59,881.6 Baht (range 21,428.5-595,520.4). Direct cost per live-year saved was 118,168. 3 Baht. Preoperative status was the only factor related to direct cost.


CONCLUSIONS
Cost incurred from hip fracture in 1 year was high. The appropriate solution to prevent hip fracture might bring about good health in the Thai elderly and reduce its cost in the future.
Woratanarat
Patarawan
P
Department of Orthopaedics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand. rapwo@mahidol.ac.th
Wajanavisit
Wiwat
W
Lertbusayanukul
Chatchawal
C
Loahacharoensombat
Wichien
W
Ongphiphatanakul
Boonsong
B
D000368:Aged; D000369:Aged, 80 and over; D017281:Cost of Illness; D005260:Female; D017048:Health Care Costs / Q000145:classification / Q000706:statistics & numerical data*; D006620:Hip Fractures / Q000191:economics* / Q000209:etiology / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D010024:Osteoporosis / Q000150:complications* / Q000191:economics*; D011446:Prospective Studies; D019057:Quality-Adjusted Life Years; D013785:Thailand