A multicenter study on hip fractures in Thailand

Area of Science:

• Orthopedics
• Epidemiology
• Public Health

Background:

• Hip fractures represent a significant global health burden, particularly in aging populations.
• Understanding the incidence, treatment, and outcomes of hip fractures in diverse populations is crucial for healthcare planning.

Purpose of the Study:

• To estimate the incidence of hip fractures among the Thai population.
• To describe treatment patterns, associated costs, complications, and outcomes of orthopedic care for hip fractures in Thailand.
• To investigate delays in seeking orthopedic care and patient decisions regarding treatment.

Main Methods:

• Multicenter study involving hip fracture patients in Thailand.
• Data collection on fracture incidence, demographics, treatment modalities, medical costs, complications, and care-seeking behavior.
• Analysis of delays in orthopedic care and reasons for denial of treatment.

Main Results:

• An exceptionally low hip fracture incidence of 7.05 per 100,000 population was observed.
• Hip fracture incidence demonstrated a steep increase with age.
• An average delay of 26.44 days in seeking orthopedic care was reported.
• Notably, 7.8% of Thai hip fracture patients denied orthopedic care during hospitalization.
• The median cost of care was 11,205.00 baht, exceeding one-fourth of the per capita national income.

Conclusions:

• The study highlights a unique pattern of hip fracture epidemiology in Thailand, characterized by low incidence and significant barriers to care.
• Delayed treatment seeking and denial of orthopedic care among Thai patients warrant further investigation and targeted interventions.
• The high cost of hip fracture treatment relative to income poses a substantial financial burden on patients and the healthcare system.