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Table 2 Number of fractures, number and costs of bed days, visits, medical and non-medical services

From: Economic burden of osteoporotic fractures in Austria

 

Hip

Forearm

Humerus

Clinical vertebral

Rib

Total

m

f

m

f

m

f

f

m

f

m

Fractures

Cases primarily treated in an inpatient setting

3,415

11,456

878

3,111

770

2,711

1,193

2,355

1,590

1,365

28,844

Cases primarily treated in an outpatient setting

0

0

4,390

15,555

1,348

4,744

11,930

23,550

15,900

13,650

91,067

Cases treated

3,415

11,456

5,268

18,666

2,118

7,455

13,123

25,905

17,490

15,015

119,911

Bed days

Mean bed days per case

16.6

14.8

3.7

4.9

5.21

71

5.21

71

5.21

71

7,7

Total bed days

56,689

169,549

3,249

15,244

4,004

18,977

6,202

16,482

8,268

9,555

308,219

Costs total (€)2

33,559,888

100,373,008

1,923,408

9,024,448

2,370,368

11,234,384

3,671,584

9,757,344

4,894,659

5,656,560

182,465,648

Visits

Mean number of visits to private practice offices

1.67

2.57

0.33

0.85

0.53

1.82

2.20

2.87

2.20

2.87

1.79

Total number of visits to private practice offices

5,703

29,442

1,738

15,866

1,123

13,568

28,871

74,347

38,478

43,093

252,229

Costs of visits to private practice offices (€)3

416,889.3

2,152,210.2

127,047.8

1,159,804.6

82,091.3

991,820.8

2,110,470.1

5,434,765.7

2,812,741.8

3,150,098.3

18,437,939.9

Mean number of visits to hospital outpatient clinics

1.59

1.27

5.83

5.15

1.47

1.71

2.40

1.71

2.40

1.71

2,52

Total number of visits to hospital outpatient clinics

5,430

14,549

30,712

96,130

3,113

12,748

31,495

44,298

41,976

25,676

306,127

Costs of visits to hospital outpatient clinics (€)4

290,776.5

779,098.95

1,644,627.6

5,147,761.5

166,701.15

682,655.4

1,686,557.25

2,372,157.9

2,247,814.8

1,374,949.8

16,393,100.85

Other medical and non-medical services

Physical therapy (mean number of sessions per case)

15.88

14.03

4.17

13.09

25.13

19.98

8.45

8.22

8.45

8.22

12.56

Physical therapy (total number of sessions)

54,230

160,728

21,968

244,338

53,225

148,951

110,889

212,939

147,791

123,423

1,278,482

Costs of physical therapy (€)5

1,626,900

4,821,840

659,040

7,330,140

1,596,750

4,468,530

3,326,670

6,388,170

4,433,730

3,702,690

38,354,460

X-rays b (mean number per case)

2.18

2.,17

3.5

4.2

1.33

2.08

2.5

1.96

2.5

1.96

2.43

X-rays (total number)

7,445

24,860

18,438

78,397

2,817

15,506

32,808

50,774

43,725

29,429

304,199

Costs of X-rays (€)6

598,578

1,998,744

1,482,415

6,303,118

226,486.8

1,246,682.4

2,637,763

4,082,229

3,515,490

2,366,091

24,457,599

BMD Measurement7

1,059

3,551

1,633

5,787

657

2,311

4,068

8,030

5,422

4,655

37,173

Cost of BMD measurement (€)8

37,065

124,285

57,155

202,545

22,995

80,885

142,380

281,050

189,770

162,925

1,301,055

Transportation (mean number of units per case)

0.73

0.78

---

0.89

---

0.1

0.55

0.37

0.55

0.37

0.43

Transportation (total number of units)

2,493

8,936

---

16,613

---

746

7,218

9,585

9,620

5,556

60,767

Cost of transportation (€)9

142,101

509,352

---

946,941

---

42,522

411,426

546,345

548,340

316,692

3,463,719

  1. 1 mean values for ICD-10 codes S10-S51, S53-S71, S73-S81.
  2. 2 Cost per bed day = € 592.
  3. 3 Cost per visit to private practice office (specialist) = € 73.10.
  4. 4 Cost per visit to hospital outpatient clinics (speacialist) = € 53.55.
  5. 5 Cost per session of physical therapy = € 30.
  6. 6 Cost per unit (i.e. X-ray) = € 80.40.
  7. 7 In average, 31% of Austrian patients received BMD measurment within first year after fracture (ICUROS-Austria).
  8. 8 Cost per BMD measurement (spine and hip).
  9. 9 Average cost per unit (i.e. per ride, as invoiced by a typical Ambulance service) = € 57.00.