A 3-year retrospective analysis of patients admitted with clinical vertebral fragility fractures across hospitals in England, UK
Authors' conclusion
Hospitalised VFF patients represented a significant number, cost, and use of bed days. Those undergoing VA had a significantly shorter length of stay.
Study context
- Population
- Patients aged 55 years and over admitted with VFF to hospitals across England, 2017 to 201961% female
- Participants
- 99,370 patients
- Exposure
- Patients aged over 75 years vs 55-74 years; vertebral augmentation vs conservative (non-surgical) management
- Over 75 yearsn = 64,370
- Vertebral augmentation (VA)n = 1,755
- Outcome
- Impact of VFF on hospitalisation: admissions, bed days, costs
Methodological detailshospital admissions database, England-wide
- Hospital admissions database
- England-wide
Main finding
As reported in the abstract
Hospitalisation for VFF
| Group | Value | Bed days | Cost | Median length of stay (MLOS) |
|---|---|---|---|---|
| Over 75 years | 65% | 1.5 million | £465 million | 14.4 days |
| 55-74 years | 659,000 | £239 million | 10.7 days |
Value
Over 75 years65%
55-74 years— not stated in the abstract
Bed days
Over 75 years1.5 million
55-74 years659,000
Cost
Over 75 years£465 million
55-74 years£239 million
Median length of stay (MLOS)
Over 75 years14.4 days
55-74 years10.7 days
- Average annual increase in admissions
- 14.3%
Observational data: associations, not effects.
Further findings
| Outcome | VA | Conservative |
|---|---|---|
| VA vs conservative management | 44.2% | 65.1% |
| Median age (years) | 73.3 | 75.7 |
| Share of total cohort | 1.8% | — not stated in the abstract |
— not stated in the abstract
- VA vs conservative management: events/value = aged 75 years and over
Admission under non-surgical vs surgical speciality
- Admitted under non-surgical speciality
- 84%
- Median age, non-surgical vs surgical (years)
- 76.8 vs 67.6
- MLOS, non-surgical vs surgical (days)
- 8.2 vs 6.0
VA vs conservative management
- MLOS and cost per patient admission lower with VA than non-surgical management
Original publication
A 3-year retrospective analysis of patients admitted with clinical vertebral fragility fractures across hospitals in England, UK. Osteoporos Int. Published 6 January 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →