Trauma Research Unit Department of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
Trauma Research Unit Department of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
Injury. 2024 Apr;55(4):111461. doi: 10.1016/j.injury.2024.111461. Epub 2024 Feb 28.
This study aimed to provide population based trends in incidence rate, hospital length of stay (HLOS), trauma mechanism, and costs for healthcare and lost productivity of subtrochanteric femur fractures in the Netherlands.
Data on patients with subtrochanteric femur fractures sustained between January 1, 2000 and December 31, 2019 were extracted from the National Medical Registration of the Dutch Hospital Database. Incidence rates, HLOS, health care and productivity costs were calculated in sex- and age-specific groups.
A total of 14,399 patients sustained a subtrochanteric fracture in the 20-year study period. Incidence rates in the entire population dropped by 15.5 % from 4.5 to 3.8 per 100,000 person years (py). This decline was larger in women (6.4 to 5.2 per 100,000 py, -19.8 %) than in men (2.6 to 2.5 per 100,000 py, -4.0 %). HLOS declined by 62.5 % from a mean of 21.6 days in 2000-2004 to 8.1 days in 2015-2019. Subtrochanteric fractures were associated with total annual costs of €15.5 M, of which 91 % (€14.1 M) were health care costs and €1.3 M were costs due to lost productivity. Mean healthcare costs per case were lower in men (€16,394) than in women (€23,154).
The incidence rates and HLOS of subtrochanteric fractures in the Netherlands have decreased in the 2000-2019 study period and subtrochanteric fractures are associated with a relatively small total annual cost of €15.5 M. Increasing incidence rates and a bimodal age distribution, described in previous studies from other European countries, were not found in the Dutch population.
本研究旨在提供荷兰基于人群的股骨转子下骨折发病率、住院时间（HLOS）、创伤机制以及医疗保健和生产力损失相关成本的变化趋势。
从荷兰医院数据库的国家医疗登记中提取了 2000 年 1 月 1 日至 2019 年 12 月 31 日期间发生的股骨转子下骨折患者的数据。按性别和年龄组计算发病率、HLOS、医疗保健和生产力成本。
在 20 年的研究期间，共有 14399 名患者发生股骨转子下骨折。在整个人群中，发病率从 4.5 降至 3.8/10 万人口年（py），下降了 15.5%。女性发病率下降幅度更大（从 2000-2004 年的 4.5/10 万降至 5.2/10 万 py，下降 19.8%），而男性发病率从 2.6/10 万降至 2.5/10 万 py，下降 4.0%。HLOS 从 2000-2004 年的平均 21.6 天下降 62.5%，至 2015-2019 年的 8.1 天。股骨转子下骨折的年总成本为 1550 万欧元，其中 91%（1410 万欧元）为医疗保健费用，130 万欧元为生产力损失费用。每例患者的平均医疗保健费用男性（16394 欧元）低于女性（23154 欧元）。
在 2000-2019 年的研究期间，荷兰股骨转子下骨折的发病率和 HLOS 有所下降，股骨转子下骨折的总年成本相对较低，为 1550 万欧元。在荷兰人群中，没有发现之前欧洲其他国家研究报道的发病率增加和双峰年龄分布。
