Table 4.
Direct medical costs during the first year after a first osteoporotic hip fracture
| Mean € (95 % CI) | Women (N = 375) | Men (N = 112) |
|---|---|---|
| Total direct cost | 9690 (9184, 10,197) | 9019 (8079, 9958) |
| First hospitalization | ||
| First hospitalization | 7067 (6733, 7401) | 7196 (6522, 7870) |
| Hospital stay | 4796 (4469, 5122) | 4856 (4240, 5472) |
| Geriatric ward | 11 (0, 26) | 88 (0, 211) |
| Intensive care | 154 (127, 181) | 184 (66, 301) |
| Orthopaedic ward | 4631 (4311, 4950) | 4584 (3964, 5205) |
| Surgical intervention | 2064 (1997, 2131) | 2128 (1969, 2288) |
| Intramedullary nail osteosynthesis | 795 (706, 884) | 545 (393, 697) |
| Sliding screw osteosynthesis | 401 (312, 490) | 401 (239, 562) |
| Partial prosthesis | 691 (580, 803) | 887 (667, 1106) |
| Total prosthesis | 177 (97, 257) | 296 (108, 484) |
| Imaging | 89 (83, 94) | 96 (87, 106) |
| Computed tomography | 6 (3, 8) | 5 (1, 9) |
| Ultrasound | 4 (2, 5) | 5 (0, 10) |
| X-ray | 80 (76, 84) | 87 (80, 94) |
| Emergency room visit prior to hosp. | 118 (114, 123) | 115 (106, 125) |
| 12-month follow-up | ||
| Re-hospitalizationb | 395 (173, 617) | 59 (0, 120) |
| Ambulatory care | 1323 (1119, 1528) | 997 (753, 1241) |
| Outpatient visits | 329 (291, 367) | 281 (204, 359) |
| Nurse at health centre visits | 16 (11, 21) | 10 (6, 13) |
| Nurse’s home visits | 73 (56, 91) | 75 (40, 110) |
| Physician at health centre visits | 56 (46, 66) | 50 (33, 68) |
| Specialist | 122 (106, 138) | 104 (72, 135) |
| Physician’s home visits | 62 (46, 78) | 43 (16, 70) |
| Rehabilitation facility | 284 (191, 376) | 258 (142, 373) |
| Health centre | 48 (32, 65) | 52 (12, 91) |
| Home | 235 (148, 323) | 206 (100, 313) |
| Imaging | 6 (2, 10) | 3 (0, 8) |
| Ambulance use | 486 (336, 635) | 269 (157, 382) |
| Visits to emergency room | 42 (26, 57) | 29 (14, 44) |
| Walking aids | 177 (148, 207) | 157 (104, 210) |
| Walker | 55 (49, 62) | 49 (37, 60) |
| Wheelchair | 122 (92, 152) | 109 (55, 162) |
| Home care, mean use | 905 (690, 1121) | 767 (285, 1250) |
| Formal | 603 (397, 810) | 563 (116, 1009) |
| Care from social workers | 18 (5, 31) | 18 (3, 35) |
| Nursing home | 258 (129, 387) | 254 (−30, 538) |
| Rehabilitation facility | 327 (213, 441) | 290 (74, 506) |
| Informal | 302 (236, 368) | 205 (114, 296) |
| Cared by relatives | 162 (128, 196) | 123 (68, 178) |
| Paid worker | 140 (93, 188) | 81 (15, 148) |
CI confidence interval, Hosp hospitalization