Hip fractures in Italy: 2000-2005 extension study

P. Piscitelli, F. Gimigliano, S. Gatto, A. Marinelli, A. Gimigliano, P. Marinelli, G. Chitano, M. Greco, L. Di Paola, E. Sbenaglia, M. Benvenuto, M. Muratore, E. Quarta, F. Calcagnile, G. Colì, O. Borgia, B. Forcina, F. Fitto, A. Giordano, A. DistanteM. Rossini, A. Angeli, A. Migliore, G. Guglielmi, G. Guida, M. L. Brandi, R. Gimigliano, G. Iolascon

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)1323-1330
Number of pages8
JournalOsteoporosis International
Volume21
Issue number8
DOIs
Publication statusPublished - Aug 2010

Keywords

  • Costs
  • Epidemiology
  • Hip fractures
  • Incidence
  • Osteoporosis
  • Rehabilitation

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism

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