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The current hospital costs of treating hip fractures
Thomas M Lawrence1, Christopher T White, Russell Wenn
1Department of Orthopaedics and Trauma, University Hospital Nottingham, Nottingham NG72UH, UK.
Insights
Hip fractures incur significant healthcare costs, with acute hospitalisation averaging 12,163 pounds per patient in 2003. Ward costs formed the largest expense, highlighting the economic impact of prolonged hospital stays for hip fracture patients.
Area of Science:
- Orthopedics
- Health Economics
- Geriatric Medicine
Background:
- Hip fractures represent a substantial burden on healthcare resources.
- Recent UK studies detailing current hospital costs for hip fractures are lacking.
- Understanding these costs is crucial for resource allocation and management.
Purpose of the Study:
- To determine the current medical expenditure for acute hospitalisation following hip fracture in the UK.
- To analyse the cost breakdown associated with hip fracture treatment.
- To provide up-to-date economic data for hip fracture care.
Main Methods:
- A comprehensive analysis of 100 patients admitted with hip fracture in 2003.
- Inclusion of costs for surgery (implants, theatre) and investigations (laboratory, radiological).
- Calculation of mean total hospital expenditure per patient.
Main Results:
- The mean length of hospital stay was 23 days for patients (mean age 83 years).
- The mean total hospital expenditure per patient was 12,163 pounds sterling.
- Ward costs constituted 84% of total expenditure, followed by operative costs (9%) and investigations (7%).
Conclusions:
- Hip fracture treatment incurs significant inpatient costs, predominantly driven by length of hospital stay.
- The findings underscore the growing economic impact of hip fractures on health services.
- Further research into reducing hospital stay duration could yield substantial cost savings.
Abstract:
Hip fractures impact heavily on our health service resources yet there is no recent United Kingdom study detailing hospital costs for such injuries. A comprehensive analysis of 100 patients admitted with a hip fracture was performed to determine current medical expenditure incurred during acute hospitalisation for hip fracture during 2003. Costs associated with surgery (implant and theatre costs) and laboratory/radiological investigations were established from individual use. The mean stay of the study group (mean age 83 years, 77 females and 23 males) was 23 days. The mean total hospital expenditure per patient was calculated to be 12,163 pounds sterling of which ward costs contributed 84%, operative costs 9% and investigations 7%. These results emphasise the growing economic impact arising from the inpatient treatment hip fractures, most of which relate to length of hospital stay.
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