Velasco-Murillo Vitelio, Navarrete-Hernández Eduardo, Pozos-Cavanzo José Luis, Ojeda-Mijares Rosalba Isabel, Camacho-Rodríguez María de los Angeles
División de Salud Materna, Salud Reproductiva y Materno Infantil, Mier y Pesado No. 120, Planta Baja, Colonia Del Valle.
Gac Med Mex. 2003 Sep-Oct;139(5):453-8.
To analyze the frequency and costs of hospitalary care due to fractures in postmenopausal period occurred in Instituto Mexicano del Seguro Social (IMSS).
Study about hospitalary discharges in IMSS, among 2000-2001, with diagnosis of hip, distal forearm and vertebral fractures, with an analysis by sex and age groups. To estimate hospitalary costs, we utilized the data of Grupos Relacionados de Diagnóstico (GRD) used in IMSS. The cost for each case was $46,965.30 mexican pesos ($5,101.63 U.S.D.).
It were registered 22,157 (8.2%) were fractures of the selected types. Of this number, 15,925 ocurred in persons of 50 years and more y 11,084 (69.6%) in postmenopausal women. The mentioned fractures were more frequent in men before 50 years with a proportion of 1.9 to 1. This proportion changed from 2 to 1 in women after 50 years. These differences were statistically significant. The cost of hospitalary care of hip fracture in postmenopausal women was $336,658.097 mexican pesos ($36' 593,271 U.S.D.) in the two years of the study.
It is convenient to make costs-benefits evaluation about preventive resources, as widespread use of HRT, to reduce the frequency of fractures in postmenopausal women, due its high actual costs of hospitalary care.
分析墨西哥社会保险机构（IMSS）中绝经后因骨折而住院治疗的频率和费用。
对IMSS在2000 - 2001年间的出院病例进行研究，病例诊断为髋部、前臂远端和脊椎骨折，并按性别和年龄组进行分析。为估算住院费用，我们使用了IMSS中诊断相关组（GRD）的数据。每个病例的费用为46,965.30墨西哥比索（5,101.63美元）。
登记了22,157例（8.2%）所选类型的骨折。其中，15,925例发生在50岁及以上人群中，11,084例（69.6%）发生在绝经后女性中。上述骨折在50岁之前男性中更为常见，比例为1.9比1。在50岁之后的女性中，这一比例变为2比1。这些差异具有统计学意义。在研究的两年中，绝经后女性髋部骨折的住院治疗费用为336,658,097墨西哥比索（36,593,271美元）。
鉴于绝经后女性骨折住院治疗的实际费用高昂，对诸如广泛使用激素替代疗法（HRT）等预防资源进行成本效益评估，以降低绝经后女性骨折的频率是很有必要的。
