Incidence and costs of hip fractures in elderly Italian population: first regional-based assessment
| Autor: | Cecilia Rao, Emanuele Rizzo, Nicola Faccilongo, Francesco Contò, Alessandro Distante, Maurizio Feola, Prisco Piscitelli, Matteo Rivezzi, Antonella Vigilanza, Umberto Tarantino, Cosimo Neglia |
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| Rok vydání: | 2019 |
| Předmět: |
Male
0301 basic medicine medicine.medical_specialty Osteoporosis 030209 endocrinology & metabolism Settore MED/33 03 medical and health sciences 0302 clinical medicine Cost of Illness Prevalence Humans Medicine Elderly people Orthopedics and Sports Medicine Aged Female population Aged 80 and over Hospitalizations Costs Hip fractures Incidence Regions business.industry Public health Incidence (epidemiology) medicine.disease Italian population Annual Percent Change Hospitalization Italy Orthopedic surgery Costs and Cost Analysis Female 030101 anatomy & morphology business Demography |
| Zdroj: | Archives of Osteoporosis. 14 |
| ISSN: | 1862-3514 1862-3522 |
| Popis: | We analyzed for the first-time hospitalizations and costs for hip fractures in the elderly Italian population at the regional level from 2007 to 2014. The number of fractures and the overall costs increased, mainly due to people aged > 85 in all the Italian regions, although at different rates. We aimed at evaluating the burden of hip fractures in elderly Italian population at the regional level. We analyzed national hospitalizations records 2007–2014 to compute standardized hospitalizations rates (SHR) due to hip fractures per 10,000 inhabitants at the regional level and average annual percent change (AAPC), along with related costs. Hip fractures occurred in people over 65 years increased from 89,601 to 94,525 over 8 years. The overall increase in the number of hospitalizations is attributable only to people aged ≥85. Actually, in the 65–74 and 74–84 age groups, total hospitalizations decreased from 13,396 to 12,268 and from 40,733 to 37,786 respectively, while they increased from 35,472 to 44,471 in people aged ≥85 (women = 28,605 and men = 6,867 in 2007; women = 34,636 and men = 9,835 in 2014). Almost 50% of hip fractures were found to have been experienced by patients aged 85 or older in 2014 (with women ≥ 85 representing 36.6% of total fractures), in accordance with the higher prevalence of osteoporosis in this age group. Fractures increase in people aged ≥ 85 was two-folds higher in males (AAPC: + 5.0%; P > 0.05) than in females (AAPC: + 2.6%; P > 0.05). Increases in the number of hospitalizations and related costs were observed for all the regions, with the only exception of Lazio (AAPC: − 4.6%; P |
| Databáze: | OpenAIRE |
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