Navigation Links
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 conditions contributing to blood clots.

The study was published in the Journal of Bone and Joint Surgery.

Two major issues require further investigation, according to Dr. Kevin Black, one of the study authors and professor and chair of orthopedics and rehabilitation at Penn State College of Medicine.

"First, we need to better understand the total cost of caring for hip-fracture patients. Our study focused only on acute hospitalization, but care typically extends well beyond this, since many patients are discharged to rehabilitation and skilled-nursing facilities," Black said in a journal news release.

"Second, this study did not investigate the quality or outcomes of care. As our population ages, there is reason to believe that the number of hip fractures will increase. Having a better understanding of the comorbidities that affect hip-fracture patients hopefully will lead to the development of strategies to more effectively care for these patients."

More information

The U.S. Centers for Disease Control and Prevention has more about hip fractures among older adults.

-- Robert Preidt

SOURCE: Journal of Bone and Joint Surgery, news release, Jan. 18, 2012


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Diabetes drug ups risk for bone fractures in older women
2. Diabetes Drugs Avandia, Actos Tied to Fractures in Women
3. New Bone Drug May Prevent Fractures But Raise Clot Risk
4. Soccer reduces risk of falls and bone fractures
5. Long-Term Use of Osteoporosis Drugs Linked to Fractures
6. Risk of Death Persists After a Hip Fracture
7. Womens Height Loss May Indicate Spinal Fracture
8. Height loss in postmenopausal women may indicate spinal fracture
9. New Study Refutes Bone Drugs Link to Fractures
10. Benefits of Osteoporosis Treatments Outweigh Possible Risk of Rare Femoral Fractures
11. CT technique eliminates the need for X-rays in trauma patients with possible spinal fractures
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... June 26, 2016 , ... On June 10-11, 2016, A Forever ... Cereal Festival and World’s Longest Breakfast Table in Battle Creek, MI, where the rehabilitation ... as home to some of the world’s leading providers of cereal and other breakfast ...
(Date:6/25/2016)... ... June 25, 2016 , ... ... and applications at AcademyHealth’s Annual Research Meeting June 26-28, 2016, at the Hynes ... important health care topics including advance care planning, healthcare costs and patient and ...
(Date:6/25/2016)... ... June 25, 2016 , ... As a lifelong Southern Californian, Dr. Omkar ... M.D from the David Geffen School of Medicine at UCLA. He trained in Internal ... complete his fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai program where he had ...
(Date:6/24/2016)... ... June 24, 2016 , ... Those who have experienced traumatic events may suffer ... unhealthy avenues, such as drug or alcohol abuse, as a coping mechanism. To avoid ... healthy coping following a traumatic event. , Trauma sufferers tend to feel a range ...
(Date:6/24/2016)... ... June 24, 2016 , ... Dr. ... accelerated orthodontic treatment. Dr. Cheng has extensive experience with all areas of orthodontics, ... and accelerated osteogenic orthodontics. , Micro-osteoperforation is a revolutionary adjunct to orthodontic ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... June 24, 2016  Arkis BioSciences, a leading ... and more durable cerebrospinal fluid treatments, today announced ... Series-A funding is led by Innova Memphis, followed ... other private investors.  Arkis, new financing will accelerate ... the market release of its in-licensed Endexo® technology. ...
(Date:6/23/2016)... -- Any dentist who has made an implant supported denture ... of them do not even offer this as a viable ... costs involved. And those who ARE able to offer that ... cost that the majority of today,s patients would not be ... , founder of Dental Evolutions Inc. and inventor of Implanova ...
(Date:6/23/2016)... Roche (SIX: RO, ROG; OTCQX: RHHBY) announced ... BRAHMS PCT (procalcitonin) assay as a dedicated testing solution ... this clearance, Roche is the first IVD company in ... sepsis risk assessment and management. PCT is ... levels in blood can aid clinicians in assessing the ...
Breaking Medicine Technology: