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2003 NOV 6 - (NewsRx.com & NewsRx.net) -- Increased age and institutionalization raise fracture-related costs for women.
"A prospective study was done among women who were postmenopausal and who had a displaced femoral neck fracture. The objective was to identify potential predictors of medical care costs during the 1-year after hospital discharge, and to examine the impact of the type of surgical procedure. The design was a 1-year prospective cohort study reflecting day-to-day clinical practice," scientists in Belgium report.
"At four hospitals, 84 women 50 years or older with a displaced femoral neck fracture were enrolled on a consecutive basis. Direct costs of medical care were documented during the 1-year after hospital discharge. Multivariate analyses were done to explore potential predictors of costs. Three fracture groups were defined by the time of surgical repair," P. Haentjens and colleagues, Free University of Brussels, Ziekenhuis Academy wrote.
"Patients in the total hip arthroplasty group were significantly younger than those in the hemiarthroplasty and the internal fixation groups (mean age, 71 years, 81 years, and 80 years, respectively). The mean direct costs of medical care during the 1-year follow-up after hospital discharge were not significantly different after total hip arthroplasty, hemiarthroplasty, or internal fixation because of large ...