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Epidemiology of Fragility Fractures

By P. Piscitelli, U. Tarantino, G. Iolascon and M.L. Brandi

Abstract

In less than a decade (2000–2008), over half a million hip fractures occurred in Italy, resulting in 800,000 hospital admissions, 120,000 expected deaths and over 150,000 cases of permanent invalidity. The direct costs to the Italian health service amount to around 8.5 billion euros (to which can be added another billion euros in disability pensions paid by the national social welfare institution). In recent years, the problem of hip fractures in the elderly has reached levels comparable only with those of myocardial infarction (MI) and stroke. The costs sustained for inpatient care and rehabilitation following hip fractures in the over-65s already exceed the hospital costs of all acute MIs in adults aged >45 years and are comparable to the direct costs of all strokes (ischaemic/haemorrhagic/TIAs) in Italy. Similarly, hip fracture mortality is no lower than MI and stroke mortality. In 2008, a total of 74,607 patients aged over 65 years were hospi-talised for hip fracture throughout Italy. These patients generated direct hospital costs of around 500 million euros/year plus a further 500 million euros for rehabilitation (making a total of over 1 billion euros/year). These costs are greater than those sustained for the hospitalisation and rehabilitation of MI and stroke patients aged over 45 years. An analysis of the Tuscan database of hospital discharge records on hip fractures highlighted the strong impact of this condition on the elderly and the considerable associated health costs: - Over 7,000 fragility fractures of the hip in 2007 alone.- Around 20% of elderly patients die within the first year.- Over 50% of hip fracture patients never recover movement capacity and independence.- Around 20% will suffer another hip fracture within 4 years.- 96 million euros in total direct costs to the regional heath service in 2007

Topics: Symposia
Publisher: CIC Edizioni Internazionali
OAI identifier: oai:pubmedcentral.nih.gov:3213815
Provided by: PubMed Central
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