Document Detail


Trends in pathological vertebral fractures in the United States: 1993 to 2004.
MedLine Citation:
PMID:  17877264     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECT: Pathological vertebral fractures (PVFs) are an increasingly important cause of disability and have many clinical and economic implications. The authors examined trends in epidemiology and surgical management of pathological vertebral fractures in the US between 1993 and 2004. METHODS: The Nationwide Inpatient Sample database was used to analyze data collected from 1993 through 2004 to determine general trends in PVFs. Patients with PVFs were identified using the appropriate International Classification of Diseases, 9th Revision (ICD-9) diagnostic code (ICD-9 733.13). Trends in vertebral augmentation procedures and spinal fusions as well as comparison with incidences of other major pathological fractures, such as hip and upper limb, were also examined. RESULTS: In 2004, there were more than 55,000 inpatient admissions for PVFs. The majority of patients admitted were women (78%) in the 65 to 84 year-age group (60%). Medicare accounted for greater than 80% of insurance, and nearly 50% of all patients were admitted from the emergency department. The mean duration of hospitalization has continued to decrease, from 8.1 days in 1993 to 5.4 days in 2004. The mortality rate has remained relatively constant at approximately 1.5%. The discharge disposition has continued to change with an increasing number of patients being discharged to other institutions such as nursing homes and rehabilitation facilities. There was a staggering increase in the number of vertebral augmentation procedures performed between 1993 and 2004. The "national bill" for inpatient hospitalizations for PVFs totaled $1.3 billion in 2004. CONCLUSIONS: With the continued aging of the population, PVFs represent an important cause of disability and a significant source of healthcare resource utilization.
Authors:
Shivanand P Lad; Chirag G Patil; Eleonora Maries Lad; Maxwell Boakye
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neurosurgery. Spine     Volume:  7     ISSN:  1547-5654     ISO Abbreviation:  -     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-09-19     Completed Date:  2007-10-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101223545     Medline TA:  J Neurosurg Spine     Country:  United States    
Other Details:
Languages:  eng     Pagination:  305-10     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Stanford University School of Medicine, Stanford, California 94305, USA. nlad@stanford.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Female
Health Care Costs / statistics & numerical data
Humans
Male
Medicare
Patient Admission / statistics & numerical data
Patient Discharge / statistics & numerical data
Risk Factors
Spinal Fractures / epidemiology*,  surgery
United States / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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