Vani J Sabesan1, Tom Valikodath, Abby Childs, Vinay K Sharma. 1. Department of Orthopaedic Surgery, Western Michigan University Homer Stryker MD School of Medicine, 1000 Oakland Drive, Kalamazoo, MI, 49008-8054, USA, sabes001@gmail.com.
Abstract
BACKGROUND: Fragility fractures of the proximal humerus and distal radius can have a significant impact on the elderly population, both economically and physically. Limited data are available to demonstrate the functional and economic impact of upper extremity fragility fractures. AIMS: To investigate the economic and social impact that proximal humerus fragility fractures may have on an older population. METHODS: A retrospective chart review for patients ≥50 years old treated as an inpatient at a local hospital between 2006 and 2012 for a proximal humerus or a distal radius fracture was done. Patients were divided into two groups to show age impact; Group 1 = 50-79 years old and Group 2 = 80 years and older. Eighty-six charts were reviewed, 38 for Group 1 and 48 for Group 2. Demographic, admission, inpatient, and discharge data were compared between groups. RESULTS: A third of patients in each group had a previous fragility fracture. Inpatient length of stay was comparable between groups. Surgical treatment was used at a higher rate in the younger cohort (p = 0.06). Approximate average hospital charges for an inpatient surgical treatment were about twice those of the non-surgically treated patients. DISCUSSION: Our results illustrate the significant burden of upper extremity fractures in terms of loss of independence, inpatient hospitalizations and prolonged nursing home or rehabilitation needs, which account for considerable health care costs. CONCLUSION: Fractures of the humerus, forearm and wrist account for one-third of the total incidence of fractures and can be a significant burden to individuals and the community.
BACKGROUND: Fragility fractures of the proximal humerus and distal radius can have a significant impact on the elderly population, both economically and physically. Limited data are available to demonstrate the functional and economic impact of upper extremity fragility fractures. AIMS: To investigate the economic and social impact that proximal humerus fragility fractures may have on an older population. METHODS: A retrospective chart review for patients ≥50 years old treated as an inpatient at a local hospital between 2006 and 2012 for a proximal humerus or a distal radius fracture was done. Patients were divided into two groups to show age impact; Group 1 = 50-79 years old and Group 2 = 80 years and older. Eighty-six charts were reviewed, 38 for Group 1 and 48 for Group 2. Demographic, admission, inpatient, and discharge data were compared between groups. RESULTS: A third of patients in each group had a previous fragility fracture. Inpatient length of stay was comparable between groups. Surgical treatment was used at a higher rate in the younger cohort (p = 0.06). Approximate average hospital charges for an inpatient surgical treatment were about twice those of the non-surgically treated patients. DISCUSSION: Our results illustrate the significant burden of upper extremity fractures in terms of loss of independence, inpatient hospitalizations and prolonged nursing home or rehabilitation needs, which account for considerable health care costs. CONCLUSION:Fractures of the humerus, forearm and wrist account for one-third of the total incidence of fractures and can be a significant burden to individuals and the community.
Authors: Michael R Eby; Danielle M Cristino; Matthew Counihan; Kendall M Masada; Jaimo Ahn; Michael W Hast Journal: BMC Musculoskelet Disord Date: 2021-05-22 Impact factor: 2.362
Authors: Warren J Sheehan; Mark A Williams; Zoe Paskins; Matthew L Costa; Miguel Antonio Fernandez; Jenny Gould; Philip Bell; Liz Baird; Richard Grant; Patricia Ellis; Catherine White; Laura Arnel; Lauren Exell; Stephen Gwilym Journal: BMJ Open Date: 2019-12-15 Impact factor: 2.692
Authors: Nicolas Vuillemin; Hans-Christoph Pape; Pol Maria Rommens; Kurt Lippuner; Klaus-Arno Siebenrock; Marius Johann Keel; Johannes Dominik Bastian Journal: Medicina (Kaunas) Date: 2021-06-21 Impact factor: 2.430
Authors: Yasmeen Adar Almog; Angshu Rai; Patrick Zhang; Amanda Moulaison; Ross Powell; Anirban Mishra; Kerry Weinberg; Celeste Hamilton; Mary Oates; Eugene McCloskey; Steven R Cummings Journal: J Med Internet Res Date: 2020-10-16 Impact factor: 5.428