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. 2014 Sep;63(5):454-9.
doi: 10.7727/wimj.2013.017. Epub 2014 May 8.

The Economic Burden of Femoral Neck Fractures in Jamaica

K D Vaughan  1 , C Gordon  2 , G Ducasse  2 , S Williams  2
Affiliations

The Economic Burden of Femoral Neck Fractures in Jamaica

K D Vaughan et al. West Indian Med J. 2014 Sep.

Abstract
in English, Spanish

Osteoporotic femoral neck fractures are increasing as the population ages. There is a significant cost to care for patients with such fractures. We prospectively analysed the in-hospital cost of managing 85 patients admitted to the University Hospital of the West Indies (UHWI) with such fractures. The majority of patients were females, 78.8%, and the mean age of the cohort was 83.7 years. There was a significant difference in the mean preoperative delay and length of stay between those patients treated publicly as compared to those treated privately, 9.6 vs 3.1 days and 18.9 vs 8.8 days, respectively. The mean acute cost of those treated publicly was 39% of the cost of those treated privately, J$110 878.80 vs J$284 287.61. The economic cost per year to the country for the acute management of femoral neck fractures was calculated at J$46 264 528.76 which is 0.30% of the 2005-2006 budgetary allocation for health. This cost was significantly associated with the length of hospital stay and the number of complications developed.

Las fracturas osteoporóticas del cuello femoral van en aumento a medida de que la población envejece. Hay un costo significativo asociado con el cuidado de los pacientes con tales fracturas. Analizamos prospectivamente el costo de hospitalización de 85 pacientes ingresados en el Hospital Universitario de West Indies (HUWI) con tales fracturas. La mayoría de los pacientes eran hembras (78,8%) y la edad promedio de la cohorte fue 83.7 años. Hubo una diferencia significativa en la demora preoperatoria promedio, y la duración de la estancia entre los pacientes tratados en instalaciones públicas, en comparación con aquellos tratados en privado, 9.6 vs 3.1 días, y 18.9 vs 8.8 días, respectivamente. El costo promedio agudo con respecto a los pacientes tratados en instalaciones públicas representó el 39% del costo de los tratados en privado, a saber, 110 878.80 jmd frente a 284 287.61 jmd. El costo económico anual que para el país representaba el tratamiento agudo de las fracturas del cuello del fémur, fue estimado en 46 264 528.76 0, lo que representa el 30% de la asignación presupuestaria de 2005-2006 para la salud. Este costo se encontraba significativamente asociado con la duración de la estancia hospitalaria y el número de complicaciones producidas.

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Figures

Figure
Figure. The effect of complications on cost in Jamaican dollars.
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