Bubshait Dalal, Sadat-Ali Mir
College of Medicine, King Faisal University, 40071, AlKhobar, 31952, Saudi Arabia.
Calcif Tissue Int. 2007 Dec;81(6):455-8. doi: 10.1007/s00223-007-9090-5. Epub 2007 Dec 4.
To assess the prevalence of proximal femoral fractures due to osteopenia and osteoporosis in the eastern province of Saudi Arabia and to estimate the cost of management of osteoporosis-related femoral fractures.
This is a retrospective study of all patients admitted to the orthopaedic department of the King Fahd Hospital of the University, AlKhobar between January 2001 and December 2006. There were 63 patients admitted to the hospital with osteoporosis-related fractures and 43 sustained proximal femoral fractures. The cost of management of these patients from admission to discharge was analyzed. A verbal survey was carried with all the hospitals in the eastern province to establish the prevalence of osteoporosis-related femoral fractures for a 12 month period.
There were 23 male and 20 female patients with average age of 72.11 years and the hospital stay was for 760 days. The cost of managing these patients was SR2.09 million (US$557,333.00) at the rate of SR48,712 (US$12,989.90) per patient. The survey of all hospitals in the eastern province of Saudi Arabia showed that 984 proximal femoral fractures occurred in a population of 164,121. The estimated cost was SR48 million (US$12.78 million) annually. On a national basis, with a population of 1,461,401 Saudis aged 50 years or more, 8,768 would suffer femoral fractures yearly at a cost of SR4.27 billion (US$1.14 billion).
This study raises serious economic concerns. The annual cost of management of osteoporosis-related proximal femoral fractures in the eastern province of Saudi Arabia is US$12.78 million. As the Saudi Arabian population is aging and the number of elderly patients is bound to increase, with an accompanying increase in fractures, the impact on health care budgets will be tremendous.
评估沙特阿拉伯东部省份因骨质减少和骨质疏松导致的股骨近端骨折的患病率，并估算骨质疏松相关股骨骨折的治疗费用。
这是一项对2001年1月至2006年12月期间在胡拜尔法赫德国王大学医院骨科住院的所有患者进行的回顾性研究。有63例因骨质疏松相关骨折入院的患者，其中43例发生股骨近端骨折。分析了这些患者从入院到出院的治疗费用。对东部省份的所有医院进行了口头调查，以确定12个月期间骨质疏松相关股骨骨折的患病率。
有23名男性和20名女性患者，平均年龄为72.11岁，住院时间为760天。治疗这些患者的费用为209万里亚尔（557,333.00美元），每名患者的费用为48,712里亚尔（12,989.90美元）。对沙特阿拉伯东部省份所有医院的调查显示，在164,121人的人群中发生了984例股骨近端骨折。估计每年费用为4800万里亚尔（1278万美元）。在全国范围内，在1,461,401名50岁及以上的沙特人群中，每年有8768人会发生股骨骨折，费用为42.7亿里亚尔（11.4亿美元）。
本研究引发了严重的经济问题。沙特阿拉伯东部省份骨质疏松相关股骨近端骨折的年度治疗费用为1278万美元。随着沙特阿拉伯人口老龄化，老年患者数量必然会增加，随之而来的骨折增加，对医疗保健预算的影响将是巨大的。
