Analysis of Factors Influencing Hospitalization Costs in Elderly Patients with Osteoporotic Vertebral Compression Fractures
Objectives This study aims to analyze the hospitalization cost structure and influencing factors of elderly patients with osteoporotic vertebral compression fractures,so as to provide a reference for reasonably controlling medical expenses and reducing financial burden of patients.Methods The data of 423 elderly patients with osteoporotic vertebral compression fractures were collected from a hospital between January 1st and December 31st,2022.This included basic information,fracture site,surgical intervention,clinical pathway management,and hospitalization costs.The influencing factors of hospitalization expenses were analyzed by non-parametric test and multiple linear regression.Results The male to female gender ratio of elderly patients with osteoporotic vertebral compression fractures was 1:3.7.The average age was 74.35 years.The average length of hospital stay was 5.31±3.00 days,with an average hospitalization cost of 32,231.96±10,260.97 yuan.The median hospitalization cost was 33,221.99 yuan(range:29,716.40 to 37,106.51 yuan).The proportion of materials expenses was the highest(66.06％),followed by the cost of drugs(15.04％).The multivariate analysis showed that F=108.432,P＜0.001,R2=0.560.The factors that affect hospitalization expenses were,inorder,whether surgery is performed,length of hospitalization,the presence of underlying diseases,and clinical path management.Conclusions The main components of hospitalization expenses for elderly patients with osteoporotic vertebral compression fractures are material fees and drug fees.The main influencing factors are whether surgery is performed and the length of hospitalization.The patients'hospitalization costs can be effectively reduced and their economic burden can be alleviated by strictly adhering to surgical indications and managing hospitalization duration.
万方数据
维普
