The Frequency of Osteoporosis in Hip Fracture Following Minor Trauma and the Resulting Mortality Rate and Direct Treatment Costs in Patients over 45 Years Old in Kashan Naghavi Hospital during 2005-2007.
1Assistant Professor of Internal Medicine, School of Medicine, Kashan University of Medical Sciences, Kashan, Iran
2Associate Professor of Internal Medicine, School of Medicine, Kashan University of Medical Sciences, Kashan, Iran
3Assistant Professor of Psychiatry, School of Medicine, Kashan University of Medical Sciences, Kashan, Iran
4Instructor, Department of Health and Statistics Kashan University of Medical Sciences, Kashan, Iran
Background & Aims: Osteoporosis is the most common metabolic bone disease .In the recent decades due
to the increase of population age, the prevalence of osteoporosis has been increased. The most important
complication of osteoporosis is bone fracture, especially in the hip. The aim of this study was to evaluate the
prevalence of osteoporosis, its mortality rate and direct treatment costs in patients over 45 years old referred
to Kashan Naghavi hospital following hip fracture during 2005-2007.
Methods: This cross-sectional study was done on 119 patients with hip fracture following minor trauma
admitted during one year to Naghavi hospital in Kashan Iran. Demographic findings, types of fracture, costs
of hospitalization, treatment and prosthesis were recorded in a questionnaire. BMD of lumbar spine & neck
of femur was done with Osteocore II instrument by DXA method. Data analysis was done by SPSS 14.
Results: Mean age of patients was 71/6±9/35 years. From all, 72/3% were female and 27/7% was male and
67/8% had fracture of neck of femur and 23/2% had intertrocanter fracture. In whole, 65% had osteoporosis.
In 51.3%, it was in lumbar and in 23.5% it was in femur. Mean hospitalization period was 7.92±3.66 days.
Mortality rate was 17/2%. Mean cost of hospitalization and treatment was 277 $ and mean cost of prosthesis
for each person was 1670$.
Conclusion: Osteoporosis is a predisposing factor for hip fracture in old patients after minor trauma. Since
Hip fracture places a high cost burden on the healthcare system, wise programming for prevention of hip
fracture seems to be highly necessary.