Incidence and costs of hip fractures vs strokes and acute myocardial infarction in Italy: comparative analysis based on national hospitalization records

Figures & data

Figure 1 Rehabilitative path of hip-fractured patients.

Table 1 Number of hospitalizations due to hip fractures in the elderly Italian population (≥65 years old) by age group and sex (Italian Ministry of Health national hospitalization records, 2001–2005)

Age group (years)	2001		2002		2003		2004		2005
	M	F	M	F	M	F	M	F	M	F
65–74	3619	9350	3630	9689	3560	9459	3923	10,010	3803	9887
>75	12,837	50,604	13,315	52,639	14,352	53,916	14,205	54,157	15,285	56,787
Total	75,960		79,273		81,287		82,295		85,762

Abbreviations: M, male; F, female.

Table 2 Estimated direct hospital and rehabilitation costs following hip fractures occurring in people aged ≥ 65 years (Italy 2001–2005)

Year	Hospital costs (€)	Rehabilitation costs (€)	Total costs (€)
2001	373	419	792
2002	394	432	826
2003	433	480	913
2004	448	485	933
2005	467	532	999

Note: Values are expressed in million Euros.

Table 3 Number of hospitalizations following hemorrhagic or ischemic strokes and transient ischemic attacks, presented by age group and sex (Italian Ministry of Health national hospitalization records, 2001–2005)

Age group (years)	2001		2002		2003		2004		2005
	M	F	M	F	M	F	M	F	M	F
Hemorrhagic strokes
45–64	4140	2921	4215	2931	3992	2776	4047	2728	4015	2729
65–74	4416	3233	4682	3292	4430	3147	4733	3346	4630	3346
>75	5705	7198	6224	7607	6450	7829	6441	7757	7115	8428
Total	27,613		28,951		28,624		29,052		30,263
Ischemic strokes
45–64	10,719	4712	11,317	5176	11,398	5050	12,032	5431	12,085	5463
65–74	19,064	11,058	19,434	11,798	19,857	11,656	20,927	12,244	20,482	12,059
>75	21,831	28,229	24,186	30,939	25,415	32,344	25,298	31,905	26,498	33,120
Total	95,613		102,850		105,720		107,837		109,707
Transient ischemic attacks
45–64	5690	3539	5394	3549	4901	3113	5038	3183	4489	2929
65–74	8060	6462	8029	6257	7367	5837	7157	5696	6876	5235
>75	12,826	18,900	12,969	18,503	12,274	17,851	11,684	16,996	11,751	16,633
Total	55,477		54,701		51,343		49,754		47,913

Abbreviations: M, male; F, female.

Table 4 Estimated hospital and rehabilitation costs following strokes (including TIA, hemorrhagic and ischemic events) in the Italian population among those aged 45–100 years old

Year	Overall adults ≥ 45 years old				Elderly people ≥ 65 years old
	Hospital costs		Rehabilitation costs	Total costs	Hospital costs		Rehabilitation costs	Total costs
	Strokes	TIA			Strokes	TIA
2001	486	172	2602	3260	285	94	1330	1709
2002	505	169	2783	3457	300	93	1456	1849
2003	506	159	2837	3502	306	89	1524	1919
2004	496	155	2891	3542	294	85	1508	1887
2005	492	148	2956	3596	299	84	1587	1970

Notes: Data concerning people aged > 65 years old are also presented separately. Values are expressed in million Euros.

Abbreviation: TIA, transient ischemic attack.

Table 5 Number of hospitalizations following acute myocardial infarction in the Italian population aged ≥ 45 years old

Age group (years)	2001		2002		2003		2004		2005
	M	F	M	F	M	F	M	F	M	F
45–64	27,359	5279	28,594	5673	29,434	5972	30,294	6400	29,925	6443
65–74	18,909	8637	20,109	9149	20,995	9543	21,476	10,080	21,621	10,145
>75	18,234	19,495	20,804	22,513	22,908	24,463	22,935	25,118	24,040	26,576
Total	97,913		106,842		113,315		116,303		117,750

Abbreviations: M, male; F, female.

Table 6 Total hospitalization and rehabilitation costs due to acute myocardial infarction (2001–2005) in the overall population (≥45 years old) and among the elderly (≥65 years old)

Year	Overall population ≥ 45 years old			Elderly ≥ 65 years old
	Hospital costs	Rehabilitation costs	Total costs	Hospital costs	Rehabilitation costs	Total costs
2001	305	437	742	195	291	486
2002	310	477	787	213	324	537
2003	324	506	830	229	348	577
2004	332	519	851	234	355	589
2005	370	525	895	274	368	642

Note: Values are expressed in million Euros.

Figure 2 Number of hospitalizations following hip fractures in elderly people (>65 years old) versus strokes (both hemorrhagic and ischemic), TIA, and AMI occurring in the whole adult population (Italy 2001–2005).

Abbreviations: TIA, transient ischemic attack; AMI, acute myocardial infarction.

Figure 3 Estimated direct hospital costs following hip fractures in elderly people (>65 years old) versus strokes (both hemorrhagic and ischemic), TIA, and AMI occurring in the whole adult population in Italy between 2001 and 2005.

Abbreviations: TIA, transient ischemic attack; AMI, acute myocardial infarction.