Am J Gerontol Geriatr | Volume 1, Issue 1 | Mini Review | Open Access
Cuesta-Peredó D1,2*, Segarra-Muñoz B3, DE la Camara JM4, Sanchez-Cortes A5, Arteaga- Moreno F2 and Tarazona-Santabalbina FJ6,2
1Department Quality of Care, Hospital Universitario de la Ribera, Spain
2Universidad Católica de Valencia San vicente Mártir, Spain
3Department of Traumatology, Hospital Universitario de la Ribera, Spain
4Department of Bibliometry, Hospital Universitario de la Ribera, Spain
5Hospital Universitario de la Ribera, Spain
6Department of Geriatric Medicine, Hospital Universitario de la Ribera, Spain
*Correspondance to: Cuesta-Peredó
Fulltext PDFIntroduction: Osteoporotic hip fractures are important health problems in geriatric patients. Several studies have evaluated the impact of hospitalization for hip fracture on the utilization of health resources and costs for sanitary services with a significant increase of them in the last years. The cost is not only related with hospitalization but also with long term complications, functional disability, rehabilitation and drug consumption. The objective of this study is to describe the new knowledge in the factors associated with the increase in the costs in patients with hip fracture.
Methods: The present review was carried out by conducting an electronic search in OVID (Medline and Embase) on hip fracture, its costs and the factors associated with them. The search was limited to publications in the last 5 years and in English, Portuguese and Spanish. A total of 86 articles were obtained, of which 27 were finally selected.
Results: Papers can be grouped into those that find or not a relationship between cost variations and their associated factors. The factors most frequently associated with cost increases are the patient's previous functional status and comorbidity, the location and type of fracture, the occurrence of adverse events (infection or delirium) and the waiting time until surgery. On the other hand, the implantation of multidisciplinary teams (orthogeriatric units) reduces the costs of care in these patients.
Conclusion: The available evidence suggests that certain surgical interventions may be costeffective, and although the Health Economic Evaluation (HEE) for patients with hip fractures are increasing in publication in recent years, most of these studies do not adopt a social perspective and the key aspects of its methodology are deficient.
Cuesta-Peredó D, Segarra-Muñoz B, DE la Camara JM, Sanchez-Cortes A, Arteaga-Moreno F, Tarazona- Santabalbina FJ. Factors Associated with Cost Variations in Patients with Hip Fracture: Mini-Review. Am J Gerentol Geriatr. 2018; 1(1): 1005.