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J Am Geriatr Soc. 2003 Mar;51(3):364-70.

Estimating hip fracture morbidity, mortality and costs.

Author information

1
Section of Decision Sciences and Clinical Systems Modeling, Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, 200 Lothrop Street, Pittsburgh, PA 15213, USA. Braithwaiters@msx.upmc.edu

Abstract

OBJECTIVES:

To estimate lifetime morbidity, mortality, and costs from hip fracture incorporating the effect of deficits in activities of daily living.

DESIGN:

Markov computer cohort simulation considering short- and long-term outcomes attributable to hip fractures. Data estimates were based on published literature, and costs were based primarily on Medicare reimbursement rates.

SETTING:

Postacute hospital facility.

PARTICIPANTS:

Eighty-year-old community dwellers with hip fractures.

MEASUREMENTS:

Life expectancy, nursing facility days, and costs.

RESULTS:

Hip fracture reduced life expectancy by 1.8 years or 25% compared with an age- and sex-matched general population. About 17% of remaining life was spent in a nursing facility. The lifetime attributable cost of hip fracture was $81,300, of which nearly half (44%) related to nursing facility expenses. The development of deficits in ADLs after hip fracture resulted in substantial morbidity, mortality, and costs.

CONCLUSION:

Hip fractures result in significant mortality, morbidity, and costs. The estimated lifetime cost for all hip fractures in the United States in 1997 likely exceeded $20 billion. These results emphasize the importance of current and future interventions to decrease the incidence of hip fracture.

PMID:
12588580
[Indexed for MEDLINE]

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