PMID- 15983632 OWN - NLM STAT- MEDLINE DCOM- 20110812 LR - 20191109 IS - 0048-7449 (Print) IS - 0048-7449 (Linking) VI - 57 IP - 2 DP - 2005 Apr-Jun TI - [Incidence and socioeconomic burden of hip fractures in Italy]. PG - 97-102 AB - OBJECTIVES: The aim of this study was to evaluate the trend of the incidence and costs of hip fractures in Italy. METHODS: The incidence of hip fractures after 45 years of age in both females and males during the years 1999-2002 was obtained by analyzing the Italian Ministry of Health national hospitalization database, according to the diagnosis codes of International Classification of Diseases, Clinical Modification, 9th edition (IDC-9-CM) that indicate femoral fracture. We have computed all direct costs sustained by the National Health Service for hospitalization and treatment of hip fractures on the basis of the value of the Diagnosis Related Groups (DRG) referring to hip fractures. The expenses of rehabilitation and indirect expenses were based on estimates. RESULTS: In 2002, more than 86,000 hip fractures were registered in Italy in male and female patients over 45 years old, with 9% progression compared to 1999; 77% were female and 80% were over 75 years of age. In 2002 the direct costs of hospitalization, in the patients over 65 years alone, were almost 400 million euros, with an increase of 15% as compared to 1999. Considering also estimated rehabilitation costs, social aid and indirect costs, we estimate that hip fractures due to age-related osteoporosis created over a billion euros in expenses in 2002. CONCLUSIONS: Preventive intervention regarding the risk of hip fracture in elderly patients is urgent. FAU - Rossini, M AU - Rossini M AD - Riabilitazione Reumatologica, Universita degli Studi di Verona, Verona, Italy. FAU - Piscitelli, P AU - Piscitelli P FAU - Fitto, F AU - Fitto F FAU - Camboa, P AU - Camboa P FAU - Angeli, A AU - Angeli A FAU - Guida, G AU - Guida G FAU - Adami, S AU - Adami S LA - ita PT - English Abstract PT - Journal Article TT - Incidenza e costi delle fratture di femore in Italia. PL - Italy TA - Reumatismo JT - Reumatismo JID - 0401302 SB - IM MH - Aged MH - Arthroplasty, Replacement, Hip/economics MH - Diagnosis-Related Groups MH - Female MH - Femoral Fractures/economics/*epidemiology/rehabilitation/surgery MH - Fractures, Spontaneous/economics/epidemiology/etiology/rehabilitation/surgery MH - Health Expenditures/statistics & numerical data MH - Hip Fractures/economics/*epidemiology/rehabilitation/surgery MH - Hospitalization/economics/statistics & numerical data MH - Humans MH - Incidence MH - Italy/epidemiology MH - Male MH - Middle Aged MH - National Health Programs/economics MH - Orthopedic Procedures/economics MH - Osteoporosis/complications/economics MH - Rehabilitation/economics MH - Sick Leave/economics EDAT- 2005/06/29 09:00 MHDA- 2011/08/13 06:00 CRDT- 2005/06/29 09:00 PHST- 2005/06/29 09:00 [pubmed] PHST- 2011/08/13 06:00 [medline] PHST- 2005/06/29 09:00 [entrez] AID - 10.4081/reumatismo.2005.97 [doi] PST - ppublish SO - Reumatismo. 2005 Apr-Jun;57(2):97-102. doi: 10.4081/reumatismo.2005.97.