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2003, Number 5

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Gac Med Mex 2003; 139 (5)

Fractures in Postmenopausal Women at the IMSS: Frequency and Cost of Their Hospital Care

Velasco-Murillo V, Navarrete-Hernández E, Pozos-Cavanzo JL, Ojeda-Mijares RI, Camacho-Rodríguez MA

Language: Spanish
References: 18
Page: 453-458
PDF size: 63.37 Kb.


ABSTRACT

Objective: To analyze the frequency and costs of hospitalary care due to fractures in postmenopausal period ocurred in Instituto Mexicano del Seguro Social (IMSS).
Material and Method: study about hospitalary discharges in IMSS, among 2000-2001, with diagnosis of hip, distal forearm and vertebral fractures, with an analysis by sex and age groups. To estimate hospitalary costs, we utilized the data of Grupos Relacionados de Diagnóstico (GRD) used in IMSS. The cost for each case was $ 46,965.30 mexican pesos ($ 5,101.63 U.S.D.).
Results: It were registered 22,157 (8.2%) were fractures of the selected types. Of this number, 15,925 ocurred in persons of 50 years and more y 11,084 (69.6%) in postmenopausal women.
The mentioned fractures were more frequent in men before 50 years with a proportion of 1.9 to 1. This proportion changed from 2 to 1 in women after 50 years. These differences were statistically significant.
The cost of hospitalary care of hip fracture in postmenopausal women was $ 336,658.097 mexican pesos ($ 36’ 593,271 U.S.D.) in the two years of the study.
Conclusion: It is convenient to make costs-benefits evaluation about preventive resources, as widespread use of HRT, to reduce the frequency of fractures in postmenopausal women, due its high actual costs of hospitalary care.


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