意大利老年人群髋部骨折的更新发病率和成本。
Updated incidence and costs of hip fractures in elderly Italian population.
机构信息
Euro Mediterranean Scientific Biomedical Institute-ISBEM Research Centre, via Reali di Bulgaria, Mesagne, 72023, Brindisi, Italy.
University of Perugia, Perugia, Italy.
出版信息
Aging Clin Exp Res. 2020 Dec;32(12):2587-2593. doi: 10.1007/s40520-020-01497-0. Epub 2020 Feb 13.
PURPOSE
We aimed at updating our previous researches about the burden of hip fractures in elderly Italian population.
METHODS
We analyzed national hospitalizations records from 2000 to 2014 to compute age- and sex-specific standardized rates.
RESULTS
1,335,375 hospitalizations were recorded in people ≥ 65 (1,031,816 women: 77.27% and 303,559 men: 22.73%) over 15 years, passing from 73,493 in year 2000 to 94,525 in 2014, with an overall increase of 28.62% over the 15-year period (females: + 25.1%; males: + 41.2%). About 84.9% of total hip fractures were suffered by patients aged ≥ 75 years old. Direct hospitalization costs and rehabilitation costs increased from 343 to 457 million Euros and from 392 to 504 million Euros from year 2000 to 2014, respectively. Overall costs of hip fractures raised from 735 to 961 million Euros (+ 30.74% from 2000 to 2014).
CONCLUSION
The number of hip fractures and related hospitalizations costs in Italian elderly population is still increasing due to the absolute number of fractures occurring in people ≥ 65 years old and particularly over 75 years old.
目的
我们旨在更新之前关于意大利老年人群髋部骨折负担的研究。
方法
我们分析了 2000 年至 2014 年的国家住院记录，以计算年龄和性别标准化率。
结果
在 15 年期间，≥65 岁的人群（1031816 名女性：77.27%和 303559 名男性：22.73%）的住院人数从 2000 年的 73493 例增加到 2014 年的 94525 例，总体增加了 28.62%（女性：+25.1%；男性：+41.2%）。约 84.9%的总髋部骨折发生在≥75 岁的患者中。直接住院费用和康复费用从 2000 年的 3.43 亿欧元增加到 2014 年的 4.57 亿欧元，从 3.92 亿欧元增加到 5.04 亿欧元。髋部骨折的总费用从 2000 年的 7.35 亿欧元增加到 9.61 亿欧元（2000 年至 2014 年增加了 30.74%）。
结论
由于≥65 岁人群中发生的骨折数量以及特别是≥75 岁人群中发生的骨折数量绝对增加，意大利老年人群中髋部骨折的数量和相关住院费用仍在增加。
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