Braithwaite R Scott, Col Nananda F, Wong John B
Section of Decision Sciences and Clinical Systems Modeling, Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, 200 Lothrop Street, Pittsburgh, PA 15213, USA.
J Am Geriatr Soc. 2003 Mar;51(3):364-70. doi: 10.1046/j.1532-5415.2003.51110.x.
To estimate lifetime morbidity, mortality, and costs from hip fracture incorporating the effect of deficits in activities of daily living.
Markov computer cohort simulation considering short- and long-term outcomes attributable to hip fractures. Data estimates were based on published literature, and costs were based primarily on Medicare reimbursement rates.
Postacute hospital facility.
Eighty-year-old community dwellers with hip fractures.
Life expectancy, nursing facility days, and costs.
Hip fracture reduced life expectancy by 1.8 years or 25% compared with an age- and sex-matched general population. About 17% of remaining life was spent in a nursing facility. The lifetime attributable cost of hip fracture was $81,300, of which nearly half (44%) related to nursing facility expenses. The development of deficits in ADLs after hip fracture resulted in substantial morbidity, mortality, and costs.
Hip fractures result in significant mortality, morbidity, and costs. The estimated lifetime cost for all hip fractures in the United States in 1997 likely exceeded $20 billion. These results emphasize the importance of current and future interventions to decrease the incidence of hip fracture.
结合日常生活活动能力缺陷的影响，估算髋部骨折导致的终生发病率、死亡率和成本。
采用马尔可夫计算机队列模拟，考虑髋部骨折的短期和长期后果。数据估计基于已发表的文献，成本主要基于医疗保险报销率。
急性后期医院设施。
80岁髋部骨折的社区居民。
预期寿命、护理机构住院天数和成本。
与年龄和性别匹配的普通人群相比，髋部骨折使预期寿命缩短1.8年或25%。剩余生命中约17%的时间在护理机构度过。髋部骨折的终生归因成本为81,300美元，其中近一半（44%）与护理机构费用有关。髋部骨折后日常生活活动能力缺陷的出现导致了大量的发病率、死亡率和成本。
髋部骨折导致显著的死亡率、发病率和成本。1997年美国所有髋部骨折的估计终生成本可能超过200亿美元。这些结果强调了当前和未来干预措施以降低髋部骨折发病率的重要性。
