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Hip Fracture Patients Often Have Other Health Problems
Date:1/23/2012

MONDAY, Jan. 23 (HealthDay News) -- Weight loss and malnutrition are among the medical conditions that increase treatment costs and the length of hospital stays for older adults with hip fractures, a new study finds.

More than 250,000 hip fractures occur each year in the United States, often resulting in hospitalization, surgery, extended periods of rehabilitation and/or long-term disability, and admission to a nursing home.

This study looked at coexisting medical conditions (comorbidities) that affect treatment costs and the length of hospitalization for hip fracture patients. The researchers examined 2007 hospital discharge data from 32,440 patients treated at more than 1,000 hospitals in 40 states. Nearly 80 percent of the patients were 75 or older and 72 percent were women.

Most of the patients had two or three comorbidities. Only about 5 percent had no other health conditions. High blood pressure affected 67 percent of the patients and was by far the most common comorbid condition.

Other comorbidities included: deficiency anemias (disorders caused by a lack of certain nutrients, such as iron or vitamin B12); fluid and electrolyte disorders; chronic lung diseases; diabetes; neurological disorders; hypothyroidism; and congestive heart failure.

The researchers found that comorbidities significantly increase treatment cost and length of hospital stay. Hip fracture patients who were very thin or malnourished had the greatest increased costs, following by those with pulmonary circulatory disorders that affect blood flow to and from the lungs.

Recent weight loss or malnutrition also had the greatest impact on hospitalization, increasing the length of hospital stay by 2.5 days. Hospital stays were about a day longer for patients with congestive heart failure or pulmonary circulation disorders.

Other comorbidities that lengthened hospital stay were fluid and electrolyte disorders, paralysis, and c
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