Division of Endocrinology and Metabolism, Department of Medicine, Faculty of Medicine, Thammasat University, 99/209 Pahonyothin Road, Pathumthani, 12120, Thailand.
Division of Endocrinology and Metabolism, Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Thung Phaya Thai, Bangkok, 10400, Ratchathewi, Thailand.
Osteoporos Int. 2024 Sep;35(9):1661-1668. doi: 10.1007/s00198-024-07140-2. Epub 2024 Jun 4.
This retrospective study examining hip fracture incidence, hip fracture trends, and the annual hospitalization costs for hip fractures in a population aged 50 years and older within the Universal Health Coverage System revealed that the incidence of hip fractures and the annual hospitalization costs for hip fractures increased significantly from 2013 to 2022.
To examine the annual incidence of hip fractures over 10 years (2013-2022), hip fracture trends, and the annual hospitalization costs for hip fractures in a population aged 50 years and older within the Universal Health Coverage System.
A retrospective study was conducted. Hip fracture hospitalizations were identified using ICD-10. Data on the number of hip fracture hospitalizations, population aged ≥ 50 years, and hospitalization costs were obtained. The primary outcome was the annual incidence of hip fractures. The secondary outcomes were hip fracture incidence by 5-year age group, the annual hospitalization costs for hip fractures, and the number of hip fractures in 6 regions of Thailand.
The hip fracture incidence increased annually from 2013-2019 and then plateaued from 2019-2022, with the crude incidence (per 100,000 population) increasing from 112.7 in 2013 to 146.7 in 2019 and 146.9 in 2022. The age-standardized incidence (per 100,000 population) increased from 116.3 in 2013 to 145.1 in 2019 and remained at 140.7 in 2022. Increases in the crude incidence were observed in both sexes (34% in females and 21% in males; p < 0.05). The annual hospitalization costs for hip fractures increased 2.5-fold, from 17.3 million USD in 2013 to 42.8 million USD in 2022 (p < 0.001). The number of hip fractures increased in all six regions of Thailand across the 10-year study period.
Osteoporotic hip fractures are a significant health concern in Thailand. The incidence and the annual hospitalization costs for hip fractures increased significantly from 2013 to 2022.
本回顾性研究检查了在全民健康覆盖系统中，50 岁及以上人群的髋部骨折发生率、髋部骨折趋势以及髋部骨折的年住院费用，结果显示，2013 年至 2022 年，髋部骨折的发生率和髋部骨折的年住院费用显著增加。
检查全民健康覆盖系统中 50 岁及以上人群 10 年来（2013-2022 年）髋部骨折的年发生率、髋部骨折趋势以及髋部骨折的年住院费用。
进行回顾性研究。使用 ICD-10 识别髋部骨折住院情况。获取髋部骨折住院次数、≥50 岁人群数量和住院费用数据。主要结果是髋部骨折的年发生率。次要结果是按 5 年年龄组划分的髋部骨折发生率、髋部骨折的年住院费用以及泰国 6 个地区的髋部骨折数量。
2013 年至 2019 年，髋部骨折发生率逐年增加，2019 年至 2022 年达到稳定，粗发病率（每 10 万人）从 2013 年的 112.7 增加到 2019 年的 146.7 和 2022 年的 146.9。标准化发病率（每 10 万人）从 2013 年的 116.3 增加到 2019 年的 145.1，并在 2022 年保持在 140.7。男女两性的粗发病率均有所增加（女性增加 34%，男性增加 21%；p<0.05）。髋部骨折的年住院费用增加了 2.5 倍，从 2013 年的 1730 万美元增加到 2022 年的 4280 万美元（p<0.001）。在整个 10 年研究期间，泰国六个地区的髋部骨折数量均有所增加。
骨质疏松性髋部骨折是泰国的一个重大健康问题。2013 年至 2022 年，髋部骨折的发生率和年住院费用显著增加。
