Paper| Volume 22, ISSUE 2, P135-138, March 1991

The cost of hospitalizing hip fracture patients has increased despite shorter hospitalization time

  • H.M. Schrøder
    Requests for reprints should be addressed to: Henrik M. Schrøder md, Frederik V's vej 13, Lejlighed 2, DK-2100 København Ø, Denmark.
    University Departments of Orthopaedics, Aarhus County Hospital and Aarhus Municipal Hospital, Denmark
    Search for articles by this author
      This paper is only available as a PDF. To read, Please Download here.


      The cost and time of hospitalization were analysed for 4161 hip fractures in 3898 patients aged 40 years or over treated in a Danish municipality from 1970 to 1985. The mean hospitalization time decreased from 32 to 21 days (P < 0.0005). This tendency was most pronounced for patients who were treated with osteosynthesis. However, the annual number of fractures increased from 134 to 367. Consequently, the bed use rose 79 per cent. As the number of hip fractures is predicted to increase further, the total number of bed-days required by these patients will probably also continue to increase.
      In addition, the standard expense per day for a hospitalized orthopaedic patient increased from 372 to 2982 DKK. Thus, the mean expense per patient was 12 000 DKK in 1970 versus 63 000 in 1985, i.e. the total expense increased 1433 per cent. After adjustment for price indexes the increase was 362 per cent. The total cost of acute hospital care of hip fractures in Denmark was estimated to be > 0.5 billion DKK in 1985.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Injury
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Andersen E.B.
        Multiplicative Poisson models with unequal cell rates.
        Scand. J. Statist. 1977; 4: 153
        • Ceder L.
        • Strömquist B.
        • Hansson L.I.
        Effects of strategy changes in the treatment of femoral neck fractures during a 17-year period.
        Clin. Orthop. 1987; 218: 53
        • Danish Central Bureau of Statistics
        National Accounts.
        • Frandsen P.A.
        • Kruse T.
        Hip fractures in the county of Funen, Denmark.
        Acta Orthop. Scand. 1983; 54: 681
        • Holmberg S.
        • Thorngren K-G.
        Consumption of hospital resources for femoral neck fracture.
        Acta Orthop. Scand. 1988; 59: 377
        • Hospital Administration of Aarhus County
        Administrative accounts.
        1970–1985 (In Danish.)
        • Jensen J.S.
        • Tøndevold E.
        • Sørensen P.H.
        Costs of treatment of hip fractures. A calculation of the consumption of the resources of hospitals and rehabilitation institutions.
        Acta Orthop. Scand. 1980; 51: 289
        • Jensen J.S.
        • Tøndevold E.
        A prognostic evaluation of the hospital resources required for the treatment of hip fractures.
        Acta Orthop. Scand. 1980; 51: 515
        • Lewis F.A.
        Fracture of the neck of the femur: changing incidence.
        Br. Med. J. 1981; 283: 1217
        • Ministry of the Interior
        Charges for hospital treatments.
        Circular no. 334. 1980; (In Danish.)
        • National Patient Register
        Disease Patterns among Inpatients. 1985; (In Danish.)
        • Owen R.A.
        • Melton L.J.
        • Gallagher J.C.
        • et al.
        The national cost of acute care of hip fractures associated with osteoporosis.
        Clin. Orthop. 1980; 150: 172
        • Skinner P.
        • Riley D.
        • Ellery J.
        • et al.
        Displaced subcapital fractures of the femur: a prospective randomized comparison of internal fixation, hemiarthroplasty and total hip replacement.
        Injury. 1989; 20: 291
        • Swansson A.J.G.
        • Murdoch G.
        Fractured neck of femur. Pattern of incidence and implications.
        Acta Orthop. Scand. 1983; 54: 348
        • Søreide O.
        • Alho A.
        • Rietti D.
        Internal fixation versus endoprosthesis in the treatment of femoral neck fractures in the elderly.
        Acta Orthop. Scand. 1980; 51: 827
        • Zetterberg K.
        • Elmersson S.
        • Andersson G.B.J.
        Epidemiology of hip fractures in Göteborg, Sweden, 1940–1983.
        Clin. Orthop. 1984; 191: 43
        • Zetterberg K.
        • Elmersson S.
        • Andersson G.B.J.
        Reoperations of hip fractures.
        Acta Orthop. Scand. 1985; 56: 8