Impact of hip fracture on hospital care costs: a population-based study

the REFReSH Study Group

Research output: Contribution to journalArticle (Academic Journal)peer-review

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Using a large cohort of hip fracture patients, we estimated hospital costs to be £14,163 and £2139 in the first and second year following fracture, respectively. Second hip and non-hip fractures were major cost drivers. There is a strong economic incentive to identify cost-effective approaches for hip fracture prevention.The purpose of this study was to estimate hospital costs of hip fracture up to 2 years post-fracture and compare costs before and after the index fracture.A cohort of patients aged over 60 years admitted with a hip fracture in a UK region between 2003 and 2013 were identified from hospital records and followed until death or administrative censoring. All hospital records were valued using 2012/2013 unit costs, and non-parametric censoring methods were used to adjust for censoring when estimating average annual costs. A generalised linear model examined the main predictors of hospital costs.A cohort of 33,152 patients with a hip fracture was identified (mean age 83 years (SD 8.2). The mean censor-adjusted 1- and 2-year hospital costs after index hip fracture were £14,163 (95 % confidence interval (CI) £14,008 to £14,317) and £16,302 (95 % CI £16,097 to £16,515), respectively. Index admission accounted for 61 % (£8613; 95 % CI £8565 to £8661) of total 1-year hospital costs which were £10,964 higher compared to the year pre-event (p 
Original languageEnglish
Pages (from-to)549-558
Number of pages10
JournalOsteoporosis International
Issue number2
Early online date19 Aug 2015
Publication statusPublished - Feb 2016


  • REFReSH study group
  • Humans
  • Hip Fractures
  • Recurrence
  • Hospitalization
  • Length of Stay
  • Fracture Fixation
  • Cohort Studies
  • Databases, Factual
  • Aged
  • Aged, 80 and over
  • Hospital Costs
  • State Medicine
  • Female
  • Male
  • Osteoporotic Fractures
  • United Kingdom


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