Hip fractures in Italy: 2000-2005 extension study

• Published in: Osteoporosis international Vol. 21; no. 8; pp. 1323 - 1330
• Main Authors: Piscitelli, P, Gimigliano, F, Gatto, S, Marinelli, A, Gimigliano, A, Marinelli, P, Chitano, G, Greco, M, Di Paola, L, Sbenaglia, E, Benvenuto, M, Muratore, M, Quarta, E, Calcagnile, F, Colì, G, Borgia, O, Forcina, B, Fitto, F, Giordano, A, Distante, A, Rossini, M, Angeli, A, Migliore, A, Guglielmi, G, Guida, G, Brandi, M. L, Gimigliano, R, Iolascon, G
• Format: Journal Article
• Language: English
• Published: London London : Springer-Verlag 01.08.2010; Springer-Verlag; Springer; Springer Nature B.V
• Subjects: Age Distribution; Aged; Biological and medical sciences; costs and returns; Diagnosis-Related Groups; Diseases of the osteoarticular system; Endocrinology; Epidemiology; Female; Fractures; Health Care Costs; Health Care Costs - statistics & numerical data; Health care expenditures; Health economics; Hip Fractures; Hip Fractures - epidemiology; Hip Fractures - rehabilitation; Hip joint; Hospitalization; Hospitalization - statistics & numerical data; Hospitalization - trends; Humans; Incidence; Injuries of the limb. Injuries of the spine; Italy; Italy - epidemiology; Male; Medical sciences; Medicine; Medicine & Public Health; Middle Aged; Miscellaneous; Original Article; Orthopedics; Osteoporosis; Osteoporosis. Osteomalacia. Paget disease; Osteoporotic Fractures; Osteoporotic Fractures - epidemiology; Osteoporotic Fractures - rehabilitation; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects); Rehabilitation; Rheumatology; Sex Distribution; statistics & numerical data; Traumas. Diseases due to physical agents; trends; Italy; Europe; Osteoporosis; Costs; Hip fractures; Rehabilitation; Epidemiology; Incidence; Diseases of the osteoarticular system; Rheumatology; Fracture; Trauma; Hip; Extension; Health economy; Public health
• ISSN: 0937-941X; 1433-2965; 1433-2965
• DOI: 10.1007/s00198-009-1084-x

Summary A total of 507,671 people ≥65 experienced hip fractures between 2000 and 2005. In 2005, 94,471 people ≥65 were hospitalized due to hip fractures, corresponding to a 28.5% increase over 6 years. Most fractures occurred in patients ≥75 (82.9%; n = 420,890; +16% across 6 years), particularly in women (78.2%; n = 396,967). Introduction We aimed to analyze incidence and costs of hip fractures in Italy over the last 6 years. Methods We analyzed the national hospitalization and DRG databases concerning fractures occurred in people ≥65 between 2000 and 2005. Results A total of 507,671 people ≥65 experienced hip fractures across 6 years, resulting in about 120,000 deaths. In year 2005 94,471 people aged ≥65 were hospitalized due to hip fractures, corresponding to a 28.5% increase over 6 years. The majority of hip fractures occurred in patients ≥75 (82.9%; n = 420,890; +16% across 6 years) and particularly in women (78.2%; n = 396,967). Among women, 84.2% of fractures (n = 334,223; +28.0% over 6 years) were experienced by patients ≥75, which is known to be the age group with the highest prevalence of osteoporosis, accounting for 68.6% of the overall observed increase in the total number of fractures. Hip fractures in men ≥75 increased by 33.1% (up to 16,540). Hospitalization costs increased across the six examined years (+36.1%) reaching 467 million euros in 2005, while rehabilitation costs rose up to 531 million in the same year. Conclusions Hip fractures of the elderly are increasing and represent a major health problem in industrialized countries such as Italy.