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Hip Fracture Outcomes in People Age Fifty and over

Hip Fracture Outcomes in People Age Fifty and over by Katie Maslow
English | Nov. 1994 | ISBN: 078811414X | 102 Pages | PDF | 2 MB
Annually, more than 300,000 people in the United States fracturea hip. The great majority are age 50 and over, and half are age 80and over. Hip fractures have severe consequences for many olderpeople, and expenditures for their care are significant. ThisOffice of Technology Assessment (OTA) background paper provides informationabout mortality, in-hospital and post-hospital service use, andlong-term functional impairment following a hip fracture. OTA estimatesthat in 1990 the average per patient expenditure for in-hospital andpost-hospital services for hip fracture patients was $20,000 and totalpublic and private expenditures for all hip fracture patients were $5 billion.Expenditures for nursing home and other long-term care servicesaccount for almost half of this amount.

Annually, more than 300,000 people in the United States fracturea hip. The great majority are age 50 and over, and half are age 80and over. Hip fractures have severe consequences for many olderpeople, and expenditures for their care are significant. ThisOffice of Technology Assessment (OTA) background paper provides informationabout mortality, in-hospital and post-hospital service use, andlong-term functional impairment following a hip fracture. OTA estimatesthat in 1990 the average per patient expenditure for in-hospital andpost-hospital services for hip fracture patients was $20,000 and totalpublic and private expenditures for all hip fracture patients were $5 billion.Expenditures for nursing home and other long-term care servicesaccount for almost half of this amount.
This background paper is one of four documents resulting from OTA'sstudy of policy issues in the prevention and treatment of osteoporosis.Another background paper, Public Information About Osteoporosis:What's Available, What's Needed?, is also being issued in July 1994.Two other documents, one on the costs and effectiveness of screening forosteoporosis and the other on research and training issues in osteoporosis,will be issued later this year.Several federal agencies are currently funding research on hip fracturetreatments and outcomes. These studies are attempting to identify themost effective treatments. Once such treatments are identified and implemented,outcomes may improve. Because many hip fracture patientsare very old and frail, however, the potential for significant improvementsin hip fracture outcomes is limited, thus highlighting the importanceof steps that maybe taken throughout life to reduce the incidence ofhip fractures, including steps to increase bone mass and bone strength inyoung people, maintain bone mass and bone strength in middle-aged andolder people, diminish the environmental and patient factors that lead tofalls in older people, and protect older failers from fracture.

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