Nurmi Ilona, Narinen Arja, Lüthje Peter, Tanninen Salla
Department of General Practice and Primary Health Care, University of Helsinki, Mannerheimintie 172, PO Box 41, 00014, Helsinki, Finland.
Arch Orthop Trauma Surg. 2003 Dec;123(10):551-4. doi: 10.1007/s00402-003-0583-z. Epub 2003 Sep 12.
The most serious complication resulting from osteoporosis is fracture of the hip. This injury often has serious consequences for the patient, because it is linked to a considerable level of mortality and deterioration of functional capacity.
The data from 106 consecutive patients with a hip fracture were registered for 1 year following the fracture by trained nurses in an area of six municipalities and 92,500 inhabitants. The total costs of these patients were calculated per patient, including the costs of acute and post-acute care and rehabilitation, home assistance and home care, outpatient visits, assistive devices, transportation, medication, and forensic autopsies as well as the patients' own share of the treatment costs. The costs were calculated according to the 2003 price level.
The average costs during the first post-fracture year were around euro 14,410. Slightly less than one-fourth of these costs was caused by acute care. If a previously home-dwelling patient had to be admitted to permanent institutional care after the fracture, the average costs rose to euro 35,700. The centralisation of post-acute rehabilitation lowered the amount of the total costs.
The average 1-year total costs of a patient with a hip fracture were euro 14,410. About one-fourth of the costs were caused by acute care. The centralisation of post-acute rehabilitation was profitable.
骨质疏松症最严重的并发症是髋部骨折。这种损伤往往给患者带来严重后果，因为它与相当高的死亡率和功能能力下降有关。
在一个有六个市镇、92500名居民的地区，由训练有素的护士对106例连续髋部骨折患者骨折后1年的数据进行登记。计算了这些患者的人均总成本，包括急性和急性后护理及康复、家庭援助和家庭护理、门诊就诊、辅助设备、交通、药物治疗、法医尸检的费用以及患者自己承担的治疗费用。成本是根据2003年的物价水平计算的。
骨折后第一年的平均成本约为14410欧元。其中略少于四分之一的成本是由急性护理造成的。如果骨折前居家的患者骨折后必须入住永久性机构护理，平均成本将升至35700欧元。急性后康复的集中化降低了总成本。
髋部骨折患者1年的平均总成本为14410欧元。约四分之一的成本是由急性护理造成的。急性后康复的集中化是有益的。
