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Hospitalisations for fracture and associated costs between 2000 and 2009 in Ireland: a trend analysis
Insights
Hospitalizations for osteoporotic fractures, including hip fractures, rose in Ireland from 2000-2009. Projections indicate a significant increase by 2025, highlighting a growing public health concern for osteoporotic fractures.
Area of Science:
- Gerontology
- Public Health
- Orthopedics
Background:
- Osteoporotic fractures represent a significant public health burden.
- Understanding trends in osteoporotic fractures is crucial for healthcare planning.
Purpose of the Study:
- To analyze trends in osteoporotic fractures in individuals aged 50+ in Ireland (2000-2009).
- To project future numbers of osteoporotic fractures in the Republic of Ireland by 2025.
Main Methods:
- Analysis of age- and gender-specific trends in hospitalizations for osteoporotic fractures using the Hospital In-Patient Enquiry system.
- Calculation of hospitalization costs and length of stay.
- Projection of future fracture numbers based on 2009 incidence rates and projected populations.
Main Results:
- Between 2000-2009, osteoporotic fractures increased by 12% in females and 15% in males.
- Hip fractures increased by 7% in women and 20% in men.
- Hospitalization costs and length of stay also increased; projections show a 79% rise in all osteoporotic fractures and 88% in hip fractures by 2025.
Conclusions:
- Hospitalizations for osteoporotic fractures continue to rise in Ireland.
- A substantial increase in hip fractures, particularly in men, was observed.
- Future projections indicate a significant escalation in osteoporotic fracture cases by 2025.
Unlabelled:
In Ireland, the absolute numbers of hospitalisations for all osteoporotic-type fractures including hip fractures increased between 2000 and 2009 along with the mean length of stay. The cost of hospitalisations for these fractures also increased between 2003 and 2008.
Introduction:
The purposes of the study were to carry out a trend analyses of the total number of osteoporotic-type fractures in males and females aged 50 years and over in Ireland between 2000 and 2009 and to project the number of osteoporotic-type fractures in the Republic of Ireland expected by 2025.
Methods:
Age- and gender-specific trends in the absolute numbers and direct age-standardised rates of hospitalisations for all osteoporotic-type fractures in men and women ≥ 50 years were analysed, along with the associated hospitalisation costs and length of stay using the Hospital In-Patient Enquiry system database. Future projections of absolute numbers of osteoporotic-type fractures in years 2015, 2020 and 2025 were computed based on the 2009 incidence rates applied to the projected populations.
Results:
Between 2000 and 2009, the absolute numbers of all osteoporotic-type fractures increased by 12 % in females and by 15 % in males while the absolute numbers of hip fractures increased by 7 % in women and by 20 % in men. The age-specific rates for hip fractures decreased in all age groups with the exception of the 55-59-year age group which showed an increase of 4.1 % (p = 0.023) within the study period. The associated hospitalisation costs and length of stay increased. Assuming stable age-standardised incidence rates from 2009 over the next 20 years, the number of all types of osteoporotic-type fractures is projected to increase by 79 % and the number of hip fractures is expected to increase by 88 % by 2025.
Conclusions:
Hospitalisations for osteoporotic-type fractures continued to increase in Ireland. Hip fractures increased by 7 % in women and 20 % in men.
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