A prospective survey of hip fracture incidence and outcome was conducted to evaluate their socioeconomic impact.
Over the course of 1 year, 404 hip fractures were recorded in 339 women and 65 men following minor or moderate trauma.
The subjects'ages were 82.8 ± 10.0 years (mean ± SD) : 84.1 ± 9.2 in female and 76.4 ± 13.7 in male subjects.
The overall annual incidence was 104.4/100,000 ; the incidence in women was 167.1 versus 353 in men, with a crude female-to-male ratio of 4.7. However, when adjusted for age, this ratio was 2.7. When adjusted to the 1985 U.S. A population, the incidence rates were 68.6 overall, 108.8 female, and 263 male, and were, respectively, 119.1,188.8, and 46.1 when adjusted to the 1992 Swiss population.
As compared with 105 age-matched non-hip-fracture fallers studied in the same emergency ward, fracture subjects lived more often in nursing homes and took cardiovascular drugs (p<0.001).
The mean length of stay in the orthopedic ward was 163 ± 12.0 days (median 14 ; range 2-193 days), for a total of 6566 bed-days representing 19.8% of available bed-days.
The mean length of stay in rehabilitation hospitals was 63.6 ± 52.6 days (median 50 ; range 2-349 days), for a total of 17,099 bed-days, representing 5.2% of available bed-days.
For patients who where independent before fracture, the greater length of stay was associated with advanced age and consumption of cardiovascular drugs. (...)
Mots-clés Pascal : Ostéoporose, Fracture, Col fémoral, Membre inférieur, Epidémiologie, Incidence, Pronostic, Economie santé, Aspect économique, Analyse coût, Système ostéoarticulaire pathologie, Ostéopathie, Homme
Mots-clés Pascal anglais : Osteoporosis, Fracture, Femoral neck, Lower limb, Epidemiology, Incidence, Prognosis, Health economy, Economic aspect, Cost analysis, Diseases of the osteoarticular system, Bone disease, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0065179
Code Inist : 002B15A. Création : 21/05/1997.