بررسی بار اقتصادی شکستگی هیپ(ناحیه لگن استخوانی) در بیماران مراجعه کننده به بخش ارتوپدی بیمارستان سینا

Authors

  • سهیلی‌آزاد, علی‌اکبر
  • یاوری, هوتن
  • اعظمی, مریم
Abstract:

    Background & Objective: Osteoprosis is the most frequent underlying cause of femoral neck fractures in the eldery. These fractures weigh heavily on health care budgets. An accurate and exhaustive evaluation of these costs would be a major contribution to health economic studies evaluating the efficiency of screening and preventive strategies. However, in Iran, very little data on the financial burden of hip fractures is available and no updated estimate has been made. The goal of this paper is to estimate the direct medical expenditures associated with hip fractures for each patient. Method: This cross-sectional study has been based on concerning 200 patients with hip fractures who referred to orthopedic clinic of Sina Hospital during the years of 1377-1382. For each patient, we registered an exhaustive and detailed list of health care services as well as inpatient costs, the kind of traumas and fractures, age, sex, marital status, the kind of prostheses and osteosynthesis materials, patient’s past medical history, the history of taking any medication and smoking, bone fracture history in the family, days of hospitalisation and their health state after the end of hospitalisation. Results: Women represented 51% and men 49% of the patients. The distribution of fracture types in our study was 72% femoral neck and 28% trochanteric. The most common osteosynthesis material used in operations was dynamic hip screw(41.5%). 2% of the patients died before the end of hospitalisation. The average length of hospitalisation for each patient was 16 days with a mean age of 60 years.(The mean age for the patients over 50 was calculated to be 71). The mean inpatient cost for each patient with a hip fracture was 4933320 Rials($588). Conclusion: With a mean cost of 4933320 Rials($588) for each patient with a hip fracture — total cost of 226932720000 Rials in a year — proximal femoral neck fracture should be considered a major health economic problem, and appropriate measures should be clearly defined to avoid this health problem.

Upgrade to premium to download articles

Sign up to access the full text

Already have an account?login

similar resources

بررسی بار اقتصادی شکستگی هیپ(ناحیه لگن استخوانی) در بیماران مراجعه کننده به بخش ارتوپدی بیمارستان سینا

زمینه و هدف: پوکی استخوان اصلی ترین علت شکستگی های گردن استخوان ران در دوران سالمندی می باشد. این شکستگی ها هزینه سنگینی را از بودجه های خدمات بهداشتی به خود اختصاص می دهند. شاید ارزشیابی دقیقی از این هزینه ها، کمک بزرگی در جهت انجام مطالعات اقتصادی ـ بهداشتی به منظور ارزیابی کفایت و اثربخشی راهبردهای غربالگری و پیشگیری در مورد این مشکل بهداشتی باشد. در کشور ما تا به امروز هیچ آمار و اطلاعاتی د...

full text

بررسی بروز انواع صدمات ارتوپدی در ۷۹۶ بیمار مراجعه کننده به درمانگاه اورژانس ارتوپدی بیمارستان سینا

هدف: در کلیه مراکز درمانی براساس ارزیابی تعداد بیماران مراجعه کننده، نوع ضایعات و علل ایجاد آنها، نسبت به پیشگیری، درمان و توانبخشی ضایعات، اقدامات ضروری صورت می گیرد. درمانگاه ارتوپدی بیمارستان سینا به عنوان مرکز ارجاع تروما در شبانه روز پذیرای بیماران بسیاری از تهران و شهرستان ها است. در این مطالعه، تلاش می شود به بررسی توصیفی بیماران مراجعه کننده به درمانگاه ارتوپدی بیمارستان سینا و طبقه بند...

full text

بررسی شیوع و خصوصیات کلینیکی بیماران میگرنی مراجعه کننده به بخش نورولوژی بیمارستان سینا شهر همدان در سال 1389

Introduction: Migraine as one of the most common types of headaches with high prevalence has significant impact on the lives of patients.This study estimated migraine prevalence and clinical characteristics of migraine patients in Hamadan. Methods: In this crossed- sectional study, all patients who referred to the neurology department of Sina Hospital from 2010.03. 21 to 2011.03.20 and confi...

full text

بررسی بیماران مراجعه کننده به اورژانس ارتوپدی بیمارستان شفایحیائیان طی یکسال

This is a retrospective study of 2242 orthopedic patients admitted to the emergency department of Shafa Orthopedic Hospital during 1 year (1994). There were 1641 male, M= 2.7 , the difference was statistically                                                F          1 significant (p « 0.001). The mean age of the patients was 28.13 years. Lower limbs injury were seen in 925, upper limbs in 1237...

full text

بررسی زونا در بیماران مراجعه کننده به درمانگاه پوست بیمارستان سینا همدان در سالهای 77-1373

          Herpes Zoster is rather a common skin disorder . It is the consequance    of late reactivation of dormant varicella zoster virus in person who has    already suffered from chickenpox. From the clinical point of view it is limited    to one dermatome. the aim of this study was the survey of clinical and &n...

full text

بررسی شیوع مصرف مواد مخدر در بیماران ترومایی مراجعه کننده به بیمارستان سینا

Background: Drug abuse has been known as a growing contributing factor to all types of trauma in the world. The goal of this article is to provide insight into demographic and substance use factors associated with trauma and to determine the prevalence of drug abuse in trauma patients. Methods: Evidence of substance abuse was assessed in trauma patients presenting to Sina trauma hospital over ...

full text

My Resources

Save resource for easier access later

Save to my library Already added to my library

{@ msg_add @}


Journal title

volume 12  issue 47

pages  83- 92

publication date 2005-12

By following a journal you will be notified via email when a new issue of this journal is published.

Keywords

No Keywords

Hosted on Doprax cloud platform doprax.com

copyright © 2015-2023