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The hospital resource utilization associated with osteoporotic hip fractures in Kermanshah, Iran
Morteza Saeb, Mandana Beyranvand1, Zahra Basiri
1Department of Internal Medicine, School of Medicine, AJA University of Medical Science, Tehran, Iran.
Insights
Osteoporotic hip fractures in Iran incur significant hospitalization costs, averaging US$774 per patient. Key cost drivers include surgery and implants, highlighting the economic impact of osteoporosis complications.
Area of Science:
- Gerontology
- Orthopedics
- Health Economics
Background:
- Osteoporosis is a leading cause of hip fractures, presenting a major economic challenge.
- Hip fractures represent a significant financial burden on national economies.
Purpose of the Study:
- To evaluate hospitalization costs and length of stay for osteoporotic hip fractures.
- To identify primary cost components in a referral hospital in Iran.
Main Methods:
- Prospective study of 103 patients with osteoporotic hip fractures over one year.
- Data collection included patient demographics, length of stay (LOS), and itemized hospitalization costs.
Main Results:
- Average hospital LOS was 9.7 days.
- Average total hospitalization cost was US$774 (7,208,588 IRR).
- Major cost components were operative (54.6%), implant (26%), and ward stay (16.3%).
Conclusions:
- Hospital resource burden from osteoporotic hip fractures in Iran is substantial.
- Costs are projected to increase with Iran's aging population.
- Economic burden data is crucial for planning preventive strategies.
Background:
Hip fracture is the most serious complication of osteoporosis and imposes a significant financial burden on countries' economy. This study aimed to assess the hospitalization costs and length of stay associated with osteoporosis hip fractures and identify the major cost components in a referral hospital in Kermanshah city, Iran.
Methods:
In a prospective study, from May 21 2007 to May 21 2008, all patients with osteoporotic hip fracture admitted to a referral hospital for operation were recruited as the study sample. For each patient, information such as age, gender, length of stay (LOS) in hospital and intensive care unit (ICU), medical and diagnostic procedures and cost of surgery and implant were collected both through interview with the patient or a family member and the patients' hospital records.
Results:
A total of 103 patients (56 men and 47 women) were studied. The average hospital length of stay (LOS) for the patients was 9.7 days, ranging from 5 to 38 days. The average total hospitalization costs was 7,208,588 IRR (US$774). The main components of the costs were ward stay (16.3%), operative (54.6%), implant (26%) and medical and diagnostic procedures (3.1%).
Conclusions:
The results of this study demonstrate that the hospital resource burden associated with osteoporotic hip fractures in Iran is substantial and expected to rise with the projected increase of life expectancy and the number of elderly in Iran. Estimating the economic burden of osteoporotic hip fractures provide information that can be of importance in the planning and design of preventive strategies.
