Trauma Research Unit Department of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
Consumer Safety Institute, P.O. Box 75169, 1070, AD, Amsterdam, the Netherlands.
Injury. 2023 Dec;54(12):111140. doi: 10.1016/j.injury.2023.111140. Epub 2023 Oct 16.
Population-based knowledge on the occurrence of femoral shaft fractures is necessary for allocation of health care services, optimization of preventive measures, and research purposes. This nationwide study aimed to provide an overview on the incidence of femoral shaft fractures over a 15-year period and to gain insight into health care consumption and work absence with associated costs in the Dutch population.
Data of patients who sustained an acute femoral shaft fracture in the years 2005-2019 were extracted from the National Medical Registration of the Dutch Hospital Database. The incidence rate, hospital length of stay (HLOS), direct medical costs, productivity costs, and years lived with disability were calculated for age- and gender specific groups.
A total of 15,847 patients with a femoral shaft fracture were included. The incidence rate increased with 13 % over this 15-year period (5.71/100,000 persons per year in 2005 and 6.47/100,000 in 2019). The mean HLOS per patient was 13.8 days in 2005-2009 versus 8.4 days in 2015-2019 for the entire group. Mean HLOS per patient increased with age (10.0 days for age group 0-9 and 12.7 days for age group >80), but declined over time from 13.6 days in 2005-2009 to 8.8 days in 2015-2019 in males, and from 13.7 days and to 8.2 days, respectively, in females. The costs due to work absence was higher in males. Cumulative health care costs were highest in females >80 years (8.4 million euros versus 1.6 million in males).
The incidence rate of femoral shaft fractures increased over the past 15 years in the Netherlands. Mean HLOS per patient has decreased in all age groups and in both sexes. Health care costs were highest for female octogenarians.
了解股骨骨干骨折的人群发生率对于医疗服务资源分配、预防措施优化和研究目的都非常重要。本项全国性研究旨在提供过去 15 年股骨骨干骨折的发生率概述，并深入了解荷兰人群的医疗保健消费和缺勤相关成本。
从荷兰医院数据库的国家医疗登记处提取了 2005 年至 2019 年期间发生急性股骨骨干骨折的患者数据。按年龄和性别计算特定组别的发生率、住院时间（HLOS）、直接医疗费用、生产力损失成本和残疾生存年限。
共纳入 15847 例股骨骨干骨折患者。在这 15 年期间，发生率增加了 13%（2005 年为 5.71/100,000 人/年，2019 年为 6.47/100,000 人/年）。整体患者的平均住院时间为 13.8 天（2005-2009 年），而在 2015-2019 年为 8.4 天。每位患者的平均住院时间随年龄增长而增加（0-9 岁年龄组为 10.0 天，>80 岁年龄组为 12.7 天），但在男性中从 2005-2009 年的 13.6 天下降到 2015-2019 年的 8.8 天，女性则从 13.7 天下降到 8.2 天。男性因缺勤造成的医疗成本更高。女性>80 岁患者的累计医疗保健费用最高（840 万欧元，而男性为 160 万欧元）。
在过去的 15 年中，荷兰的股骨骨干骨折发生率有所增加。所有年龄组和性别组的每位患者平均住院时间都有所下降。女性 80 岁以上患者的医疗保健费用最高。
