Estimation of resource utilization associated with osteoporotic hip fracture and level of post-acute care in China
Estimation of resource utilization associated with osteoporotic hip fracture and level of post-acute care in China
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DOI：
10.1185/030079907x233061
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发表时间：
2007-12-01
影响因子：
2.3
通讯作者：
Sen, Shuvayu B. S.
中科院分区：
文献类型：
--
作者：
Dai, Kerong;Zhang, Qiaoyi;Sen, Shuvayu B. S.
目的：研究表明，我国骨质疏松性髋部骨折（OHF）的发病率和治疗费用呈上升趋势。本研究的目的是估计与OHF相关的资源利用，包括住院时间（LOS）和住院费用，并检查中国上海OHF住院患者的骨质疏松症急性期后护理水平。方法：对上海市13个区2855例50岁以上髋部骨折患者进行回顾性研究在2000年。随机选择101名患者并进行访谈，以确定住院后6个月内的治疗和相关费用。对数线性回归与自举复位进行LOS和医院的成本数据，估计平均LOS和相关成本调整后的人口和共病characteristics.Results：2855例患者（平均年龄，73.6 +/- 9.9岁）的医院记录进行了审查。对于女性，60岁以上的患者平均住院时间（35天）较长;然而，平均住院费用（15 082元）在65-74岁（18 932元）时达到峰值。男性平均住院天数（34 d）和平均住院费用（13149元）均随年龄增长而增加。只有14%的OHF住院患者接受骨质疏松症治疗。由于患者数量少，抽样，主要是为了地理方便，应注意将这些数据推广到其他地区的China.Conclusions：OHF是与大量的资源利用在上海，中国。虽然OHF住院患者应考虑骨质疏松症治疗，以减轻经济和患者负担，但大多数OHF患者没有接受此类治疗。
Objective: Research suggests that the incidence and cost of treating osteoporotic hip fracture (OHF) in China is rising. The purpose of this study was to estimate resource utilization associated with OHF, including hospital length of stay (LOS) and inpatient costs, and to examine the level of post-acute care for osteoporosis among patients hospitalized for OHF in Shanghai, China.Methods: This was a retrospective study of 2855 patients aged 50 years and older who were hospitalized for bone fragility hip fractures in 13 districts of Shanghai in the 2000. One hundred and one patients were randomly selected and interviewed to determine the treatments and associated costs for the 6-month period following hospitalization. Log linear regressions with bootstrapping resampling were conducted for LOS and hospital cost data to estimate the average LOS and associated costs after adjusting for demographic and comorbid characteristics.Results: Hospital records of 2855 patients (mean age, 73.6 +/- 9.9 years) were reviewed. For women, mean LOS (35 days) was longer for those greater than 60 years of age; however, mean cost of hospital stay (15 082 RMB) increased to a peak at age 65-74 years (18 932 RMB). For men, mean LOS (34 days) and mean cost of hospitalization (13 149 RMB) both increased with age. Only 14% of patients hospitalized for OHF received treatment for osteoporosis. Due to the small number of patients and sampling that was taken largely for geographical convenience, care should be taken when generalizing these data into other areas of China.Conclusions: OHF is associated with substantial resource utilization in Shanghai, China. Although patients hospitalized with OHF should be considered for osteoporosis therapy to alleviate economic and patient burden, most patients with OHF received no such treatment.