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ECONOMIC IMPACT OF HIP FRACTURES IN THE ELDERLY
Van den oever
ECONOMIC IMPACT OF HIP FRACTURES IN THE ELDERLY
IAG-ER Meeting Rob van den Oever
Ostend, Feb. 16th-18th 2005 LCM Brussels
ABSTRACT
In order to evaluate the latest evolution in hip fracture incidence and hip fracture treatment in Belgium and to estimate the total socio-economic burden of illness the data of the National Institute of Health Insurance (RIZIV) and the individual billing data of the largest Belgian Sickness Fund (LCM) were analysed and the results compared with those of previous studies.
The total of hip fracture incidence (13.158 surgical treatments, 2.724 total hip arthroplasties, 858 independent conservative treatments) for Belgium in 2004 amounts to 16.740.
For 1989 a total number 11.330 (9820 + 56 + 1454) fracture cases is calculated, so the increase in annual incidence between 1989 (114,0) and 2004 (161,0) is plus 41,2 %.
There were 73,31 % women and 26,69 % men in the patient population with fractures and this ratio is not influenced by the way of treatment (surgical, conservative, arthroplasty). Annual incidences increase considerably for both sexes above 65 year and peak in the 80-84 age group. The mean age is 76,5 year for male and 78,6 year for female patients.
Mean health care cost for hip fracture treatments were 6649,7 euro for osteosynthesis, 7669,4 euro for hemiarthroplasty, 6560,5 euro for total hip arthroplasty and 4758,5 euro for conservative treatment. The costs during hospital admission are mainly determined by the surgical intervention, the prosthesis and the mean LOS with 27.6, 23.5 and 19.6 days for resp. surgical, conservative and THP treatment.
Of all patients living independently previous to the surgical procedure, 21,7 % were transferred to an elderly home (RVT/ROB) and required long-term care.
The mortality in the first year after fracture is 25,3 %.
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