Predictors and cost-effectiveness of 1-year postoperative mortality and readmission of hip fracture in the elderly: A comparison of different treatments

Title : Predictors and cost-effectiveness of 1-year postoperative mortality and readmission of hip fracture in the elderly: A comparison of different treatments

Abstract:

Hip fractures, especially femoral neck fractures (FNF), are common and have high mortality rates within a year, causing significant financial and social costs. We conducted a retrospective cohort study using competing risk analysis on FNF patients aged 60 or above who underwent primary hemiarthroplasty or internal fixation. The internal fixation group had significantly lower 1-year mortality rates (10.46%) than the arthroplasty group (11.08%), with higher mortality hazard ratios in men, increasing age, and Charlson Comorbidity Index (CCI). Surgical complication incidence was 11.13% and 7.57%, with a higher hazard ratio in the internal fixation group and with increasing CCI and in men. Medical complication rates at 90-day were 6.33% and 7.04%. The arthroplasty group spent over 197,677.82 USD in medical costs, leading to a reduction of 1 person-year in survival time and a higher incremental cost-effectiveness ratio.

Biography:

Tzu-chieh is a medical professional from Taiwan, with specializations in orthopedic and emergency medicine. He pursued his education at China Medical University, Taiwan, and received a Master's degree in Epidemiology from National Taiwan University in 2011. He recently completed his PhD in 2022, also from China Medical University. In 2021, he was appointed as an Adjunct Professor at Tunghai University, Taiwan.