Hip fractures in Italy: 2000-2005 extension study

被引:54
作者
Piscitelli, P. [1 ,2 ]
Gimigliano, F. [3 ]
Gatto, S. [3 ]
Marinelli, A. [3 ]
Gimigliano, A. [3 ]
Marinelli, P. [3 ]
Chitano, G. [1 ]
Greco, M. [1 ]
Di Paola, L. [1 ]
Sbenaglia, E. [1 ]
Benvenuto, M. [1 ]
Muratore, M. [4 ]
Quarta, E. [4 ]
Calcagnile, F. [4 ]
Coli, G. [4 ]
Borgia, O. [4 ]
Forcina, B. [5 ]
Fitto, F. [6 ]
Giordano, A. [7 ]
Distante, A. [1 ,8 ]
Rossini, M. [9 ]
Angeli, A. [10 ]
Migliore, A. [11 ]
Guglielmi, G. [12 ]
Guida, G. [3 ]
Brandi, M. L. [2 ]
Gimigliano, R. [3 ]
Iolascon, G. [3 ]
机构
[1] ISBEM Res Inst, I-72023 Mesagne, Brindisi, Italy
[2] Univ Florence, Florence, Italy
[3] Univ Naples 2, Naples, Italy
[4] Local Hlth Author Lecce, San Cesario, Italy
[5] Forcina Labs, Galatina, Italy
[6] Citta Lecce Hosp, Lecce, Italy
[7] Univ Siena, I-53100 Siena, Italy
[8] Univ Pisa, Pisa, Italy
[9] Univ Verona, I-37100 Verona, Italy
[10] Univ Turin, Turin, Italy
[11] Fatebenefratelli St Peters Hosp, Rome, Italy
[12] IRCCS Casa Sollievo Sofferenza, San Giovanni Rotondo, Italy
关键词
Costs; Epidemiology; Hip fractures; Incidence; Osteoporosis; Rehabilitation; DIRECT MEDICAL COSTS; OSTEOPOROTIC FRACTURES; QUANTITATIVE ULTRASOUND; WOMEN; POPULATION; EPIDEMIOLOGY; MORTALITY; TREND; MEN; AGE;
D O I
10.1007/s00198-009-1084-x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A total of 507,671 people a parts per thousand yen65 experienced hip fractures between 2000 and 2005. In 2005, 94,471 people a parts per thousand yen65 were hospitalized due to hip fractures, corresponding to a 28.5% increase over 6 years. Most fractures occurred in patients a parts per thousand yen75 (82.9%; n = 420,890; +16% across 6 years), particularly in women (78.2%; n = 396,967). We aimed to analyze incidence and costs of hip fractures in Italy over the last 6 years. We analyzed the national hospitalization and DRG databases concerning fractures occurred in people a parts per thousand yen65 between 2000 and 2005. A total of 507,671 people a parts per thousand yen65 experienced hip fractures across 6 years, resulting in about 120,000 deaths. In year 2005 94,471 people aged a parts per thousand yen65 were hospitalized due to hip fractures, corresponding to a 28.5% increase over 6 years. The majority of hip fractures occurred in patients a parts per thousand yen75 (82.9%; n = 420,890; +16% across 6 years) and particularly in women (78.2%; n = 396,967). Among women, 84.2% of fractures (n = 334,223; +28.0% over 6 years) were experienced by patients a parts per thousand yen75, which is known to be the age group with the highest prevalence of osteoporosis, accounting for 68.6% of the overall observed increase in the total number of fractures. Hip fractures in men a parts per thousand yen75 increased by 33.1% (up to 16,540). Hospitalization costs increased across the six examined years (+36.1%) reaching 467 million euros in 2005, while rehabilitation costs rose up to 531 million in the same year. Hip fractures of the elderly are increasing and represent a major health problem in industrialized countries such as Italy.
引用
收藏
页码:1323 / 1330
页数:8
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