In-hospital charges associated with the treatment of adult femoral neck fractures

Abstract

A retrospective analysis of 41 adult patients treated for a femoral neck fracture was performed to determine the variables that best predict total hospital charges. The patients were treated for an isolated femoral neck fracture at our hospital from January 1993 through December 1994. There were 13 men and 28 women. The average age at the time of injury was 63 years. The average length of stay was 12.1 days, and the average total hospital charges per patient were $16,072. No physician fees were included in our analysis. Detailed multivariate regression analysis of 10 variables was performed for each patient. Stepwise linear regression analysis, which controlled for all variable (such as age at injury, number of medical illnesses, gender, and others), revealed that the strongest predictors of total hospital charges were the number of medical illnesses (P < 0.0001), age at injury (P = 0.023), length of stay (P < 0.0001), and number of complications (P = 0.0007).