The Frequency of Osteoporosis in Hip Fracture Following Minor Trauma and the Resulting Mortality Rate and Direct Treatment Costs in Patients over ۴۵ Years Old in Kashan Naghavi Hospital during ۲۰۰۵-۲۰۰۷.

Background & Aims: Osteoporosis is the most common metabolic bone disease .In the recent decades due to the increase of population age, the prevalence of osteoporosis has been increased. The most important complication of osteoporosis is bone fracture, especially in the hip. The aim of this study was to evaluate the prevalence of osteoporosis, its mortality rate and direct treatment costs in patients over ۴۵ years old referred to Kashan Naghavi hospital following hip fracture during ۲۰۰۵-۲۰۰۷. Methods: This cross-sectional study was done on ۱۱۹ patients with hip fracture following minor trauma admitted during one year to Naghavi hospital in Kashan Iran. Demographic findings, types of fracture, costs of hospitalization, treatment and prosthesis were recorded in a questionnaire. BMD of lumbar spine & neck of femur was done with Osteocore II instrument by DXA method. Data analysis was done by SPSS ۱۴. Results: Mean age of patients was ۷۱/۶±۹/۳۵ years. From all, ۷۲/۳% were female and ۲۷/۷% was male and ۶۷/۸% had fracture of neck of femur and ۲۳/۲% had intertrocanter fracture. In whole, ۶۵% had osteoporosis. In ۵۱.۳%, it was in lumbar and in ۲۳.۵% it was in femur. Mean hospitalization period was ۷.۹۲±۳.۶۶ days. Mortality rate was ۱۷/۲%. Mean cost of hospitalization and treatment was ۲۷۷ and mean cost of prosthesis for each person was ۱۶۷۰. Conclusion: Osteoporosis is a predisposing factor for hip fracture in old patients after minor trauma. Since Hip fracture places a high cost burden on the healthcare system, wise programming for prevention of hip fracture seems to be highly necessary.