Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
BMC Public Health
Published in: BMC Public Health 1/2012

Open Access 01-12-2012 | Research article

Incidence and direct hospitalisation costs of hip fractures in Vilnius, capital of Lithuania, in 2010

Authors: Marija Tamulaitiene, Vidmantas Alekna

Published in: BMC Public Health | Issue 1/2012

Login to get access

Abstract

Background

Few epidemiological data on hip fractures were previously available in Lithuania. The aim of this study was to estimate the incidence and hospital costs of hip fractures in Vilnius in 2010.

Methods

Data were collected from the medical charts of all patients admitted to hospitals in Vilnius (population, 548,835) due to new low-energy trauma hip fracture, during 2010. The estimated costs included ambulance transportation and continuous hospitalisation immediately after a fracture, which are covered by the Lithuanian healthcare system.

Results

The incidence of new low-energy trauma hip fractures was 252 (308 women and 160 men) per 100,000 inhabitants of Vilnius aged 50-years or more. There was an exponential increase in the incidence with increasing age. The overall estimated cost of hip fractures in Vilnius was 1,114,292 EUR for the year 2010. The greatest part of the expenditure was accounted for by fractures in individuals aged 65-years and over. The mean cost per case was 2,526.74 EUR, and cost varied depending on the treatment type. Hip replacement did not affect the overall mean costs of hip fracture. The majority of costs were incurred for acute (53%) and long-term care (35%) hospital stays, while medical rehabilitation accounted for only 12% of the overall cost. The costs of hip fracture were somewhat lower than those found in other European countries.

Conclusion

The data on incidence and costs of hip fractures will help to assess the importance of interventions to reduce the number of fractures and associated costs.
Literature
1.
Cummings SR, Melton LJ: Epidemiology and outcomes of osteoporotic fractures. Lancet. 2002, 359: 1761-1767. 10.1016/S0140-6736(02)08657-9.CrossRefPubMed
2.
Gullberg B, Johnell O, Kanis JA: World-wide projections for hip fracture. Osteoporos Int. 1997, 7: 407-413. 10.1007/PL00004148.CrossRefPubMed
3.
Johnell O, Kanis JA: An estimate of the worldwide prevalence, mortality and disability associated with hip fracture. Osteoporos Int. 2004, 15: 897-902. 10.1007/s00198-004-1627-0.CrossRefPubMed
4.
Johnell O, Kanis JA: An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int. 2006, 17: 1726-1733. 10.1007/s00198-006-0172-4.CrossRefPubMed
5.
Melton LJ: Adverse outcomes of osteoporotic fractures in the general population. J Bone Miner Res. 2003, 18: 1139-1141. 10.1359/jbmr.2003.18.6.1139.CrossRefPubMed
6.
Cheng SY, Levy AR, Lefaivre KA, Guy P, Kuramoto L, Sobolev B: Geographic trends in incidence of hip fractures: a comprehensive literature review. Osteoporos Int. 2011, 22: 2575-2586. 10.1007/s00198-011-1596-z.CrossRefPubMed
7.
Cooper C, Cole ZA, Holroyd CR, Earl SC, Harvey NC, Dennison EM, Melton LJ, Cummings SR, Kanis JA: the IOF CSA Working Group on Fracture Epidemiology: Secular trends in the incidence of hip and other osteoporotic fractures. Osteoporos Int. 2011, 22: 1277-1288. 10.1007/s00198-011-1601-6.CrossRefPubMedPubMedCentral
8.
Tamulaitiene M, Alekna V, Strazdiene V, Mastaviciute A: The incidence of hip fractures in Vilnius in 2006. Gerontologija. 2010, 11: 7-13.
9.
Alekna V, Tamulaitiene M, Sinkeviciene V, Spornaja L: Incidence of distal forearm fracture in Vilnius. Sveikatos mokslai. 2007, 17: 1389-1393.
10.
Alekna V, Tamulaitiene M, Kalibatiene D, Sinkeviciene V, Cerniauskaite I: Functional outcome one year after osteoporotic hip fracture. Baltic Endocrinology. 2006, 2: 68-72.
11.
12.
Alvarez-Nebreda ML, Jiménez AB, Rodríguez P, Serra JA: Epidemiology of hip fracture in the elderly in Spain. Bone. 2008, 42: 278-285. 10.1016/j.bone.2007.10.001.CrossRefPubMed
13.
Johnell O, Kanis JA, Jonsson B, Oden A, Johansson H, De Laet C: The burden of hospitalised fractures in Sweden. Osteoporos Int. 2005, 16: 222-228. 10.1007/s00198-004-1686-2.CrossRefPubMed
14.
De Pina MF, Alves SM, Barbosa M, Barros H: Hip fractures cluster in space: an epidemiological analysis in Portugal. Osteoporos Int. 2008, 19: 1797-1804. 10.1007/s00198-008-0623-1.CrossRefPubMed
15.
Maravic M, Le Bihan C, Landais P, Fardellone P: Incidence and cost of osteoporotic fractures in France during 2001. A methodological approach by the national hospital database. Osteoporos Int. 2005, 2005 (16): 1475-1480.CrossRef
16.
Icks A, Haastert B, Wildner M, Becker C, Meyer G: Trend of hip fracture incidence in Germany 1995–2004: a population-based study. Osteoporos Int. 2008, 19: 1139-1145. 10.1007/s00198-007-0534-6.CrossRefPubMed
17.
Dimai HP, Svedbom A, Fahrleitner-Pammer A, Pieber T, Resch H, Zwettler E, Chandran M, Borgström F: Epidemiology of hip fractures in Austria: evidence for a change in the secular trend. Osteoporos Int. 2011, 22: 685-692. 10.1007/s00198-010-1271-9.CrossRefPubMed
18.
Lippuner K, Golder M, Greiner R: Epidemiology and direct medical costs of osteoporotic fractures in men and women in Switzerland. Osteoporos Int. 2005, 16: S8-S17. 10.1007/s00198-004-1696-0.CrossRefPubMed
19.
Péntek M, Horváth C, Boncz I, Falusi Z, Tóth E, Sebestyén A, Májer I, Brodszky V, Gulácsi L: Epidemiology of osteoporosis related fractures in Hungary from the nationwide health insurance database, 1999–2003. Osteoporos Int. 2008, 19: 243-249. 10.1007/s00198-007-0453-6.CrossRefPubMed
20.
Giversen IM: Time trends of age-adjusted incidence rates of first hip fractures: a register-based study among older people in Viborg County, Denmark, 1987–1997. Osteoporos Int. 2006, 17: 552-564. 10.1007/s00198-005-0012-y.CrossRefPubMed
21.
Bjørgul K, Reikerås O: Incidence of hip fracture in southeastern Norway A study of 1,730 cervical and trochanteric fractures. Int Orthop. 2007, 31: 665-669. 10.1007/s00264-006-0251-3.CrossRefPubMed
22.
Lönnroos E, Kautiainen H, Karppi P, Huusko T, Hartikainen S, Kiviranta I, Sulkava R: Increased incidence of hip fractures. A population based-study in Finland. Bone. 2006, 39: 623-627. 10.1016/j.bone.2006.03.001.CrossRefPubMed
23.
Paspati I, Galanos A, Lyritis GP: Hip fracture epidemiology in Greece during 1977–1992. Calcif Tissue Int. 1998, 62: 542-547. 10.1007/s002239900476.CrossRefPubMed
24.
Hernández JL, Olmos JM, Alonso MA, González-Fernández CR, Martínez J, Pajarón M, Llorca J, González-Macías J: Trend in hip fracture epidemiology over a 14-year period in a Spanish population. Osteoporos Int. 2006, 17: 464-470. 10.1007/s00198-005-0008-7.CrossRefPubMed
25.
Czerwinski E, Kanis JA, Trybulec B, Johansson H, Borowy P, Osieleniec J: The incidence and risk of hip fracture in Poland. Osteoporos Int. 2009, 20: 1363-1367. 10.1007/s00198-008-0787-8.CrossRefPubMed
26.
Wildner M, Clark DE: Hip fracture incidence in East and West Germany. Reassessment 10 years after unification. Osteoporos Int. 2001, 12: 136-139. 10.1007/s001980170146.CrossRefPubMed
27.
Lofthus CM, Osnes EK, Falch JA, Kaastad TS, Kristiansen IS, Nordsletten L, Stensvold I, Meyer HE: Epidemiology of hip fractures in Oslo, Norway. Bone. 2001, 29: 413-418. 10.1016/S8756-3282(01)00603-2.CrossRefPubMed
28.
Piscitelli P, Iolascon G, Gimigliano F, Muratore M, Camboa P, Borgia O, Forcina B, Fitto F, Robaud V, Termini G, et al: Incidence and costs of hip fractures compared to acute myocardial infarction in the Italian population: a 4-year survey. Osteoporos Int. 2007, 18: 211-219. 10.1007/s00198-006-0224-9.CrossRefPubMed
29.
Autier P, Haentjens P, Bentin J, Baillon JM, Grivegne’e AR, Closon MC, Boonen S, for the Belgian Hip Fracture Study Group: Costs Induced by Hip Fractures: A Prospective Controlled Study in Belgium. Osteoporos Int. 2000, 11: 373-380. 10.1007/s001980070102.CrossRefPubMed
30.
Ohsfeldt RL, Borisov NN, Sheer RL: Fragility fracture-related direct medical costs in the first year following a nonvertebral fracture in a managed care setting. Osteoporos Int. 2006, 17: 252-258. 10.1007/s00198-005-1993-2.CrossRefPubMed
31.
Wiktorowicz ME, Goeree R, Papaioannou A, Adachi JD, Papadimitropoulos E: Economic Implications of Hip Fracture: Health Service Use, Institutional Care and Cost in Canada. Osteoporos Int. 2001, 12: 271-278. 10.1007/s001980170116.CrossRefPubMed
32.
Clark P, Carlos F, Barrera C, Guzman J, Maetzel A, Lavielle P, Ramirez E, Robinson V, Rodriguez-Cabrera R, Tamayo J, Tugwell P: Direct costs of osteoporosis and hip fracture: an analysis for the Mexican healthcare system. Osteoporos Int. 2008, 19: 269-276. 10.1007/s00198-007-0496-8.CrossRefPubMed
33.
Borgström F, Zethraeus N, Johnell O, Lidgren L, Ponzer S, Svensson O, Abdon P, Ornstein E, Lunsjö K, Thorngren KG, Sernbo I, Rehnberg C, Jönsson B: Costs and quality of life associated with osteoporosis-related fractures in Sweden. Osteoporos Int. 2006, 17: 637-650. 10.1007/s00198-005-0015-8.CrossRefPubMed
34.
Tanriover MD, Oz SG, Tanriover A, Kilicarslan A, Turkmen E, Guven GS, Saracbasi O, Tokgozoglu M, Sozen T: Hip fractures in a developing country: Osteoporosis frequency, predisposing factors and treatment costs. Arch Gerontol Geriatr. 2010, 50: e13-e18. 10.1016/j.archger.2009.04.010.CrossRefPubMed
Metadata
Title
Incidence and direct hospitalisation costs of hip fractures in Vilnius, capital of Lithuania, in 2010
Authors
Marija Tamulaitiene
Vidmantas Alekna
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2012
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-12-495

Other articles of this Issue 1/2012

BMC Public Health 1/2012 Go to the issue

Research article

Assessment of utilization of provider-initiated HIV testing and counseling as an intervention for prevention of mother to child transmission of HIV and associated factors among pregnant women in Gondar town, North West Ethiopia

Correspondence

Advocates, interest groups and Australian news coverage of alcohol advertising restrictions: content and framing analysis

Research article

Prevalence of sexual activity and associated factors in hypertensive males and females in China: A cross-sectional study

Research article

People living with HIV /AIDS (PLWHA) and HIV/AIDS associated oral lesions; a study in Malaysia

Research article

Undergraduate student drinking and related harms at an Australian university: web-based survey of a large random sample

Correspondence

Towards fair health policies for migrants and ethnic minorities: the case-study of ETHEALTH in Belgium