The Comparison of Length of Hospital Stay and Expenditure of Two Major Hip Fracture Patterns in Elderly Patients

• Main Authors: Hao-Jen Cheng, 鄭浩任
• Other Authors: Syi Su
• Format: Others
• Language: zh-TW
• Published: 2009
• Online Access: http://ndltd.ncl.edu.tw/handle/18315652858445334591

碩士 === 國立臺灣大學 === 醫療機構管理研究所 === 97 === Hip fractures are commonly seen in the elderly and may result in permanent disability and enormous burden to the society and family. More than 90% of the hip fractures in the elderly caused by a fall, and the risks of the fall related fractures increased as the aging process and the accompanying osteoporosis. There are two major hip fracture patterns: the femoral neck fractures and the femoral pertrochanteric fractures. Displaced femoral neck fractures in the elderly are most often treated with hemiarthroplasty, while femoral pertrochanteric fractures are treated with open reduction and internal fixation of the fracture site. In this study we recruit the patients receiving primary surgical intervention for hip fractures in 2005 at the National Taiwan University Hospital Yunlin Branch. The demographic data and the cost during the hospital days for each patient were collected via chart review and telephone contact. The differences between the two major hip fracture patterns and their influences to the length and cost of hospital days were then analyzed. We are looking forward to find out the factors that influence the hospital days and the cost of the patient who suffered from hip fractures.