Cost Analysis of Osteoporotic Hip Fractures
Patarawan Woratanarat MD,PhD*, Wiwat Wajanavisit MD*, Chatchawal Lertbusayanukul MD*, Wichien Loahacharoensombat MD*, Boonsong Ongphiphatanakul MD*
Affiliation : * Department of Orthopaedics, Faculty of Medicine Ramathibodi Hospital, Mahidol University
Objective : To assess the total costs of hip fracture treatment subsequently incurred in 1 year.
Materials and Methods : A cohort study was conducted from January 1, 2002 to December 31, 2004. All new
osteoporotic hip fracture patients were enrolled with informed consent. A total cost was estimated, and
multivariate analysis was performed to determine factors related to costs.
Results : A total of 37 patients were included. Average age was 75 + 11.8 years. Four of them (11%) died.
Median total cost of hip fracture treatment in 1 year was 116,458.6 Baht (range 21,428.5-5,070,665.0).
Median direct cost was 59,881.6 Baht (range 21,428.5-595,520.4). Direct cost per live-year saved was 118,168.3
Baht. Preoperative status was the only factor related to direct cost.
Conclusion : Cost incurred from hip fracture in 1 year was high. The appropriate solution to prevent hip
fracture might bring about good health in the Thai elderly and reduce its cost in the future.
Keywords : Cost, Hip fracture, Osteoporosis
