The Socio-Economic Impact Produced by Patients with Dementia and Hip Fractures

Authors

  • Andrei Vlad Bradeanu Dunarea de Jos University of Galati, Faculty of Medicine and Pharmacy, Galati, Romania
  • Alexandru Bogdan Ciubara “Dunarea de Jos” University of Galati, Galati, Romania
  • Stefan Lucian Burlea “Grigore T. Popa” University of Medicine and Pharmacy, Iasi, Romania
  • Anamaria Ciubara “Dunarea de Jos” University of Galati, Galati, Romania

DOI:

https://doi.org/10.18662/brain/11.1Sup1/24

Keywords:

hip fracture, dementia, socio-economic impact

Abstract

Age is one of the most important parameters influencing the occurrence of hip fractures in patients over the age of 65 but also their mental state is a decisive factor. In the first three months, older adults have eight times higher risk of dying of a hip fracture if compared with people who have not suffered such type of injury. In the last 10 years, several studies showed considerable increase in the well-being of patients who have both pathologies but for the caregivers it proved to be a very hard task. The management of hospitalization costs of dementia and hip fracture patients cannot include only the period of hospitalization, but should also include the 1-year period of recovery. In UK, the annual incidence of hip fracture is 79,243, accident and emergency costs per hip fracture is 297 pounds and hospitalization costs per hip fracture is 13,765 pounds. Health and social care for hip bone fractures in one year amounts to 2 billion euros but specialists expect the number of hip fractures to increase reaching 104,000 cases by 2025.

Author Biographies

Andrei Vlad Bradeanu, Dunarea de Jos University of Galati, Faculty of Medicine and Pharmacy, Galati, Romania

Dunarea de Jos University of Galati, Faculty of Medicine and Pharmacy, Galati, Romania

Alexandru Bogdan Ciubara, “Dunarea de Jos” University of Galati, Galati, Romania

“Dunarea de Jos” University of Galati, Galati, Romania

Stefan Lucian Burlea, “Grigore T. Popa” University of Medicine and Pharmacy, Iasi, Romania

“Grigore T. Popa” University of Medicine and Pharmacy, Iasi, Romania

Anamaria Ciubara, “Dunarea de Jos” University of Galati, Galati, Romania

“Dunarea de Jos” University of Galati, Galati, Romania

References

Barr, R. J., Stewart, A., Torgerson, D. J., Seymour, D. G., & Reid, D. M. (2005). Screening elderly women for risk of future fractures – participation rates and impact on incidence of falls and fractures. Calcif Tissue Int, 76(4), 243-248. https://doi.org/10.1007/s00223-004-0101-5

Beaupre, L. A., Cinats, J. G., Senthilselvan, A., Lier, D., Jones, C. A., Scharfenberger, A., Johnston, D. W., & Saunders, L. D. (2006). Reduced morbidity for elderly patients with a hip fracture after implementation of perioperative evidence-based clinical pathway. Quality and Safety in Health Care, 15(5), 375-9. https://doi.org/10.1136/qshc.2005.017095

Brecht, J. G., Kruse, H. P., Mohrke, W., Oestreich, A., & Huppertz, E. (2004). Healtheconomic comparison of three recommended drugs for the treatment of osteoporosis. International Journal of Clinical Pharmacology Research, 24(1),1-10. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/15575171

Brennan-Olsen, S. (2018). Why hip fractures in the elderly are often a death sentence. The Conversation. Retrieved from https://theconversation.com/why-hip-fractures-in-the-elderly-are-often-a-death-sentence-95784

Buchner, D. M., & Larson, E. B. (1987). Falls and fractures in patients with the Alzheimer's type dementia. JAMA: The Journal of the American Medical Association, 257(11), 1492. https://doi.org/10.1001/jama.1987.03390110068028

Burge, R. T., Worley, D., Johansen, A., Bhattacharyya, S., & Bose, U. (2001). The cost of osteoporotic fractures in the UK: projections for 2000–2020. Journal of Medical Economics, 4(1-4), 51–62. https://doi.org/10.3111/200104051062

Cummings, S. R., Nevitt, M. C., Browner, W. S., Stone, K., Fox, K. M., Ensrud, K. E., Cauley, J., Black, D., & Vogt, T. M. (1995). Risk factors for hip fracture in white women. New England Journal of Medicine, 332(12), 767-73. https://doi.org/10.1056/nejm199503233321202

Dharmarajan, T. S., & Banik, P. (2006). Hip fracture: Risk factors, preoperative assessment, and postoperative management. Postgraduate Medicine, 119(1), 31-38. https://doi.org/10.3810/pgm.2006.06.1638

Fesun, H. (2019). Relationship between the syndrome of emotional burnout and characterological qualities of a person, comparative aspect. Revista Romaneasca pentru Educatie Multidimensionala, 11(1), 57-72. http://dx.doi.org/10.18662/rrem/96

Fleurence, R. L. (2004). Cost-effectiveness of fracture prevention treatments in the elderly. International Journal of Technology Assessment in Health Care, 20(2), 184-191. https://doi.org/10.1017/s0266462304000960

Hay, J. W., & Ernst, R. L. (1987). The economic costs of Alzheimer's disease. American Journal of Public Health, 77, 1169-1175. https://doi.org/10.2105/ajph.77.9.1169

Hernlund, E., Svedbom, A., Ivergard, M., Compston, J., Cooper, C., Stenmark, J., McCloskey, E. V., Jonsson, B., & Kanis, J. A. (2013). Osteoporosis in the European Union: medical management, epidemiology and economic burden. Archives of Osteoporosis, 8, 136. https://doi.org/10.1007/s11657-013-0136-1

Johansson, C., & Skoog, I. (1996). A population-based study on the association between dementia and hip fractures in 85-year olds. Aging Clinical and Experimental Research, 8(3), 189-96. https://doi.org/10.1007/bf03339676

Johnell, O., & Kanis, J. A. (2006). An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporosis International, 17(12), 1726–1733. https://doi.org/10.1007/s00198-006-0172-4

Kyo, T., Takaoka, K., & Ono, K. (1993). Femoral neck fracture. Factors related to ambulation and prognosis. Clinical Orthopaedics and Related Research, 292, 215-22. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/8519112

Liporace, F. A., Egol, K. A., Tejwani, N., Zuckerman, J. D., & Koval, K. J. (2005). What’s new in hip fractures? Current concepts. American Journal of Orthopedy, 34, 66-74.

Luo, L. Z., & Xu, L. (2005). Study on direct economic-burden and its risk factors of osteoporotic hip fracture. Zhonghua Liu Xing Bing Xue Za Zhi, 26(2), 669-672.Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/16471214

Lyons, A. R. (1997). Clinical outcomes and treatment of hip fractures. American Journal of Medicine, 103(2), 51S-63S. https://doi.org/10.1016/s0002-9343(97)90027-9

Marinescu, A., & Gheorghiu, S. (2019). Ethics controlling military medical practice. Logos Universality Mentality Education Novelty: Philosophy & Humanistic Sciences, 7(1), 51-77. http://dx.doi.org/10.18662/lumenphs/18

National Clinical Guideline Centre. (2011). Hip fracture: The management of hip fracture in adults. Retrieved from https://www.nice.org.uk/guidance/cg124/evidence/full-guideline-183081997

Nurmi, I., Narinen, A., Luthje, P., & Tanninen, S. (2003). Cost analysis of hip fracture treatment among the elderly for the public health services: A 1-year prospective study in 106 consecutive patients. Archives of Orthopaedic and Trauma Surgery, 123(10), 551-554. https://doi.org/10.1007/s00402-003-0583-z

Ory, M. G., Hoffman, R. R., Yee, J. L., Tennstedt, S., & Schulz, R. (1999). Prevalence and impact of caregiving: A detailed comparison between dementia and nondementia caregivers. The Gerontologist, 39(2), 177–185. https://doi.org/10.1093/geront/39.2.177

Pandharipande, P., Jackson, J., & Ely, E. W. (2005). Delirium: Acute cognitive dysfunction in the critically ill. Current Opinion in Internal Medicine, 4(5), 448-456. https://doi.org/10.1097/01.ccx.0000170503.76528.4b

Parker, M. J., & Palmer, C. R. (1995). Prediction of rehabilitation after hip fracture. Age and Ageing, 24(2), 96-98. https://doi.org/10.1093/ageing/24.2.96

Parker, M. J., Gillespie, W. J., & Gillespie, L. D. (2006). Effectiveness of hip protectors for preventing hip fractures in elderly people: systematic review. BMJ, 332(7541), 571-574. https://doi.org/10.1136/bmj.38753.375324.7c

Pasco, J. A., Sanders, K. M., Hoekstra, F. M., Henry, M. J., Nicholson, G. C., & Kotowicz, M. A. (2005). The human cost of fracture. Osteoporosis International, 16(12), 2046-2052. https://doi.org/10.1007/s00198-005-1997-y

Roche, J. J., Wenn, R. T., Sahota, O., & Moran, C. G. (2005). Effect of comorbidities and postoperative complications on mortality after hip fracture in elderly people: Prospective observational cohort study. BMJ, 331(7529), 1374. https://doi.org/10.1136/bmj.38643.663843.55

Serban, A., & Tataru, S. (2018). The influence of general data protection regulation on patient engagement. Logos Universality Mentality Education Novelty: Law, 6(1), 56-72. http://dx.doi.org/10.18662/lumenlaw/07

Stevenson, M. D., Davis, S. E., & Kanis, J. A. (2006). The hospitalisation costs and out-patient costs of fragility fractures. Women's Health Medicine, 3(4), 149–151. https://doi.org/10.1383/wohm.2006.3.4.149

Sulkava, R., Wikström, J., Aromaa, A., Raitasalo, R., Lehtinen, V., Lahtela, K., & Palo, J. (1985). Prevalence of severe dementia in Finland. Neurology, 35(7), 1025–1029. https://doi.org/10.1212/wnl.35.7.1025

Tomaziu-Todosia, M. (2019). The importance of public health policies in the social - economic development of Romania. Postmodern Openings, 10(2), 162-172. http://dx.doi.org/10.18662/po/78

Wiktorowicz, M. E., Goeree, R., Papaioannou, A., Adachi, J. D., & Papadimitropoulos, E. (2001). Economic implications of hip fracture: health service use, institutional care and cost in Canada. Osteoporosis International, 12(4), 271-278. https://doi.org/10.1007/s001980170116

Willis, M. S. (2002). The health economics of calcium and vitamin D3 for the prevention of osteoporotic hip fractures in Sweden. International Journal of Technology Assessment in Health Care, 18(4), 791-807. https://doi.org/10.1017/s0266462302000600

Downloads

Published

2020-04-14

How to Cite

Bradeanu, A. V., Ciubara, A. B., Burlea, S. L., & Ciubara, A. (2020). The Socio-Economic Impact Produced by Patients with Dementia and Hip Fractures. BRAIN. Broad Research in Artificial Intelligence and Neuroscience, 11(1Sup1), 01-07. https://doi.org/10.18662/brain/11.1Sup1/24

Publish your work at the Scientific Publishing House LUMEN

It easy with us: publish now your work, novel, research, proceeding at Lumen Scientific Publishing House

Send your manuscript right now