Analysis of influencing factors on hospitalization costs of elderly osteoporosis hip fracture
10.3760/cma.j.issn.0254-9026.2012.11.025
- VernacularTitle:老年骨质疏松髋部骨折患者住院费用影响因素的分析
- Author:
Hong WANG
;
Mingsheng LI
;
Yanwei LV
;
Hailing CHEN
;
Quan ZHANG
;
Wei LI
;
Lili DENG
- Publication Type:Journal Article
- Keywords:
Osteoporosis;
Hip fracture;
Costs of hospitalization
- From:
Chinese Journal of Geriatrics
2012;31(11):1010-1014
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the influencing factors on hospitalization costs of osteoporosis hip fracture in elderly patients.Methods The hospitalization expenses of patients with osteoporotic hip fracture and influencing factors were analyzed by single factor analysis of variance and multiple regression analysis method in Beijing Ji Shuitan Hospital from 2009 July to 2010 December.Results Among 565 patients who underwent operation treatment,hospitalization costs of femoral neck fracture was (42 127±20 821) yuan,wherein the treatment fee was (27 283± 14 959) yuan,other expenses (expenses for medicine,examination and chemical examination) were (14 844 ± 8717) yuan.The above values of intertrochanteric fracture were (52 965± 15 901) yuan,(36 872±11 763) yuan and (16 093±7793) yuan,respectively.Treatment fee occupied 65％ of hospitalization expenses.Multivariate regression analysis of influencing factors of costs intertrochanteric revealed that femoral neck fractures hip arthroplasty,femoral intertrochanteric fracture,venous thrombosis of the lower extremity,and albumin infusion in perioperative period were correlated firmly with the increased hospitalization expenses and treatment expenses (P＜0.001).Comorbidities such as diabetes and anemia,perioperative complication such as delirium,cardiac disease,pulmonary embolism,pulmonary infection were related to the other higher expenses (P＜0.05).The longer of hospital stay resulted in higher cost of hospitalization (P ＜ 0.001).Conclusions Comorbidities and preoperative complications can increase other expenses.Osteoporotie hip fracture,with a high hospitalization cost,is a heavy economy burden.It is important to emphasize the disease prevention of both osteoporosis and aging chronic illness.
