The George Institute for Global Health, Sydney, NSW, Australia.
UNSW Medicine, UNSW Sydney, Sydney, NSW, Australia.
Arch Osteoporos. 2021 Oct 4;16(1):147. doi: 10.1007/s11657-021-01009-1.
This study reports hospitalization costs of fracture in Chinese patients aged over 45 years and evaluates their related factors in different fracture groups.
To report hospitalization costs of treating fractures in Chinese patients aged over 45 years and to investigate the sociodemographic and health system factors related to variation in the costs.
Study participants were selected from the 2016 Health Accounts Database in Jiangsu in which patients' hospitalization costs were kept at various levels in hospitals. A multi-stage stratified sampling method was used to select study participants. Electronic medical records of patients aged 45 years and over with fractures were included. The International Classification of Diseases, Tenth Revision (ICD-10) was used to identify patients who were hospitalized due to fractures. A generalized linear model was used to estimate the extent to which a range of health system and sociodemographic factors were associated with the variation on hospitalization costs. Costs data were presented and analyzed using 2016 U.S. dollars.
A total of 39,300 patients were included in the study. Vertebra, tibia/fibula, and hip were the most frequent fracture sites. The mean (median) of hospitalization cost of included fractures ranged from USD 3142 (USD 2420) for hand and wrist fractures to USD 10,355 (USD 9673) for hip fractures. Longer length of hospital stay, higher hospital level, and being covered by a health insurance were associated with higher hospitalization costs for all fracture types.
Our study reports hospital costs of the fracture using a large health accounts database in China and investigates the associated factors of hospital costs. Our results may inform cost-of-illness studies and economic evaluations of fracture preventions.
本研究报告了中国 45 岁以上骨折患者的住院费用，并评估了不同骨折组的相关因素。
报告中国 45 岁以上骨折患者的住院费用，并探讨与费用变化相关的社会人口学和卫生系统因素。
研究对象选自 2016 年江苏省卫生账户数据库，该数据库在各级医院保存了患者的住院费用。采用多阶段分层抽样法选择研究对象。纳入年龄 45 岁及以上因骨折住院的患者电子病历。使用国际疾病分类第 10 次修订版（ICD-10）确定因骨折住院的患者。使用广义线性模型估计一系列卫生系统和社会人口学因素与住院费用变化的关联程度。使用 2016 年美元呈现和分析成本数据。
共纳入 39300 例患者。椎体、胫骨/腓骨和髋部是最常见的骨折部位。纳入骨折的住院费用均值（中位数）范围从手部和腕部骨折的 3142 美元（2420 美元）到髋部骨折的 10355 美元（9673 美元）。住院时间较长、医院级别较高以及有医疗保险覆盖与所有类型骨折的住院费用较高相关。
本研究使用中国大型卫生账户数据库报告了骨折的住院费用，并调查了住院费用的相关因素。我们的研究结果可能为疾病负担研究和骨折预防的经济评估提供信息。
