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Journals / Acta Orthopaedica et Traumatologica Turcica / 2011 / Cilt: 45 - Sayı: 5

Osteoporotic hip fracture costs in the elderly Turkish population

Osteoporotik kalça kırığı olan yaşlı Türk hasta popülasyonunda osteoporozun birim maliyeti çalışması

ASİYE SİMİN HEPGÜLER
Alp ÇETİN
Toros ŞAHİN
Asil KARA
Pages
316–325
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Therefore, ICD and DRG coding needs to be improved and a national database must be created at least for the invoices of importation of prostheses to fully be able to calculate the burden of osteoporosis across Turkey.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: This study was designed to determine the length of hospital stay and treatment costs of patients with osteoporotic hip fractures in Turkey.
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Key Findings & Data:Methods: A total of 1,118 osteoporotic hip fractures taken from patient records in 35 hospitals connected to a Disease Related Group (DRG) network were included in the study.
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Conclusion & Impact:Therefore, ICD and DRG coding needs to be improved and a national database must be created at least for the invoices of importation of prostheses to fully be able to calculate the burden of osteoporosis across Turkey.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: This study was designed to determine the length of hospital stay and treatment costs of patients with osteoporotic hip fractures in Turkey. Methods: A total of 1,118 osteoporotic hip fractures taken from patient records in 35 hospitals connected to a Disease Related Group (DRG) network were included in the study. Inclusion criteria were patients over the age of fifty with a diagnosis of a single, low-energy fracture located at the neck, head, or intertrochanteric region of the femur treated with total/hemi-arthroplasty, screw or nail methods. We examined the demographics, location of fracture, treatment type, length of hospital stay (LOS), direct cost and cost extrapolation based on the numbers of hospitals, beds and patient by hospital. Results: Of the 1,118 patients (mean age: 75.3±9.9 years), 62.8% were female. The main fracture type was of the femur neck without precise localization. The average LOS was 11.0±7.9 days. The total weighed cost of all 1,118 hip fractures was $2,249,885 per year, indicating an average direct medical cost of $3,119 per patient in the 35 DRG hospitals. Based on this sample, the estimated total number of patients is 15,602 by number of hospitals; 8,521 by number of hospital beds and 9,365 by number of hospitalization, costing $31,530 million; $14,793 million and $18,948 million, respectively. Conclusion: Diverse results in cost estimations of osteoporotic hip fractures reflect the incoherence of data as well as a lack of standardization of health care services. Therefore, ICD and DRG coding needs to be improved and a national database must be created at least for the invoices of importation of prostheses to fully be able to calculate the burden of osteoporosis across Turkey.

Özet

Amaç: Çalışmamızda yaşlı Türk hastalardaki osteoporotik kalça kırıklarının hastane yatış süresi ve tedavi maliyeti açısından değerlendirilmesi amaçlandı. Çalışma planı: Hastalıkla İlişkili Gruplar (HİG) iletişim ağı ile bağlantılı 35 hastanenin taranması ile osteoporotik kalça kırığı olan toplam 1,118 hasta çalışmaya alındı. 50 yaşın üzerinde olmak, femur boynunda, intertrokanterik bölgede veya femur başında düşük enerjili tek bir kırığa sahip ve total/hemi artroplasti, vida veya çivi yöntemleri ile tedavi edilmiş olmak çalışmaya alınma kriterleriydi. Başlıca değişkenler demografik özellikler, kırığın yeri, tedavi tipi, hastanede yatış süresi (HYS), doğrudan maliyet ve hastane sayısına, hastane başına düşen yatak ve hasta sayısına dayanılarak yapılan maliyet tahminleri idi. Bulgular: 1,118 hastadan (ortalama yaş: 75.3±9.9 yıl) %62.8’i kadındı. En sık rastlanan tanı tam lokalizasyonu belirtilmeyen femur boynu kırığıydı. Ortalama HYS 11.0±7.9 gündü. 1,118 kalça kırığının toplam ağırlıklı maliyeti her yıl için 2,249,885 $ idi ve bu 35 HİG hastanesinde hasta başına ortalama 3,119 $ doğrudan tıbbi maliyet olduğunu gösteriyordu. Tahmini hasta sayısı, hastane sayısına göre 15,602; hastane yatağına göre 8,521 ve hastane yatışına göre 9,365 olarak saptandı ve bunların maliyeti sırasıyla 31,530 milyon $; 14,793 milyon $ ve 18,948 milyon $ olarak hesaplandı. Çıkarımlar: Osteoporotik kalça kırıklarının tedavi maliyetlerinin değişkenliği sağlık hizmetlerindeki standardizasyon eksizliğini yansıtan bir bulgudur. Standart bir ulusal veri tabanının oluşturulması osteoporotik kalça kırıklarının maliyet tahmini ve tedavi yaklaşımları açısından hekimler tarafından daha standart bir şekilde değerlendirilmesine yardımcı olabilir.

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Cite This Article

HEPGÜLER, A. S., ÇETİN, A., ŞAHİN, T., KARA, A. (2011). Osteoporotic hip fracture costs in the elderly Turkish population. Acta Orthopaedica et Traumatologica Turcica, Cilt: 45 - Sayı: 5, 316–325. https://ajindex.com/articles/354419

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