The healthcare system costs of hip fracture care in South Africa
Authors' conclusion
Healthcare costs following a HF are high relative to the gross domestic product per capita and per capita spending on health in SA.
Study context
- Population
- Consenting patients presenting with a fragility hip fracture (HF), five regional public sector hospitals in KwaZulu-Natal (KZN), South Africa
- Participants
- 200 consecutive patients
- Exposure
- General anaesthesia vs Spinal anaesthesia vs No surgery
- Outcome
- Direct healthcare costs per patient of HF management, from presentation to discharge (2020 US$)
- Follow-up
- Presentation to discharge
Methodological detailsprospective, consecutive enrolment, multicentre (five regional public sector hospitals), generalized linear models
- Prospective
- Consecutive enrolment
- Multicentre (five regional public sector hospitals)
- Generalized linear models
Main finding
As reported in the abstract
Direct healthcare cost of HF management per patient, presentation to discharge (2020 US$)
Mean unadjusted cost
US$6935
95% CI; US$6401–7620
Major cost driver: orthopaedics/surgical ward costs, 85% of total cost
US$5904
95% CI; 5408–6535
Covariate-adjusted cost
US$6922
95% CI; US$6743–7118
Observational data: associations, not effects.
Further findings
Covariate-adjusted total costs by anaesthesia/surgery · covariate-adjusted
Major cost driver: orthopaedics/surgical ward costs
- Orthopaedics/surgical ward costs, US$ (95% CI 5408-6535)
- US$5904
- Share of total cost
- 85%
Covariate-adjusted total costs by anaesthesia/surgery
- Total costs higher in patients operated under general anaesthesia
Original publication
The healthcare system costs of hip fracture care in South Africa. Osteoporos Int. Published 27 January 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →