Dorgham Sana, Selmene Mohamed Amine, Zaraa Mourad, Lahmar Ahmed Amine, Annabi Hedi, Mahjoub Sabri
Faculty of medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.
Department of orthopaedic and trauma surgery, Ben Arous trauma and major burns center, Tunisia.
Tunis Med. 2024 Feb 5;102(2):107-110. doi: 10.62438/tunismed.v102i2.4760.
Proximal femur fractures are one of the most common injuries in older adults representing a serious health condition in developed as well as developing countries.
This study aimed to assess the hospitalization costs of the proximal femur fracture.
We conducted a prospective descriptive study spread over six months about patients hospitalized and operated on for proximal femur fractures. In order to estimate the cost we referred to the nomenclature of professional acts and the prices set by the Ministry of Public Health and the Ministry of Finance.
The study included 100 patients, 55 females and 45 males with an average age of 76 years. The average hospital length of stay was 5 days. The preoperative stay was at a mean of three days. The average total hospitalization cost for these fractures was 2877 Tunisian Dinars depending on the type of fracture and surgical treatment. The main components of the costs were hospital stay costs and human resources costs 40%, cost of the implant 25.9%, cost of consumables 12%, operating cost 10%, cost of additional examinations 9% and cost of medications 2%.
Proximal femur fractures represent an important cause of health resource consumption. To reduce the cost of hospital care, we recommend limiting the length of hospital stay as much as possible, investing in total hip and hemi-arthroplasties and adapting economical behavior taking into account the cost of consumables.
股骨近端骨折是老年人最常见的损伤之一，在发达国家和发展中国家都是一种严重的健康问题。
本研究旨在评估股骨近端骨折的住院费用。
我们对因股骨近端骨折住院并接受手术的患者进行了为期六个月的前瞻性描述性研究。为了估算费用，我们参考了专业行为的命名法以及公共卫生部和财政部设定的价格。
该研究纳入了100名患者，其中55名女性和45名男性，平均年龄为76岁。平均住院时间为5天。术前住院时间平均为3天。根据骨折类型和手术治疗方式，这些骨折的平均总住院费用为2877突尼斯第纳尔。费用的主要组成部分是住院费用和人力资源费用（40%）、植入物费用（25.9%）、耗材费用（12%）、手术费用（10%）、额外检查费用（9%）和药物费用（2%）。
股骨近端骨折是健康资源消耗的一个重要原因。为了降低医院护理成本，我们建议尽可能缩短住院时间，投资于全髋关节和半髋关节置换术，并考虑耗材成本来调整经济行为。
