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dc.contributor.author | Bouza, Carmen | |
dc.contributor.author | Lopez-Cuadrado, Teresa | |
dc.contributor.author | Palma Ruiz, Matilde | |
dc.contributor.author | Amate, Jose Maria | |
dc.date.accessioned | 2024-01-25T09:13:15Z | |
dc.date.available | 2024-01-25T09:13:15Z | |
dc.date.issued | 2007-05 | |
dc.identifier.citation | Osteoporos Int. 2007 May;18(5):649-57. | es_ES |
dc.identifier.issn | 0937-941X | es_ES |
dc.identifier.uri | http://hdl.handle.net/20.500.12105/17366 | |
dc.description.abstract | This population-based study reveals clinical and epidemiologic characteristics of hospitalised osteoporosis-related vertebral fractures and indicates an association with a substantial hospital burden in Spain. These data provide a basis for assessing the impact of these fractures on the Spanish health-care system and to estimate future care requirements. Introduction: Vertebral fractures (VF) are recognised as the most frequent complication of osteoporosis. Our objective was to determine the clinico-epidemiological characteristics and health-care burden of hospitalised VF in Spain. Method: From the 2002 National Hospital Discharge Register, records for all osteoporosis-related VF in the Spanish population aged >or=30 years and over were retrieved. Diagnostic categories included the ICD-9-CM codes 805 and 733.xx. Population data were drawn from the National Statistics Institute. Results: In total, 7,100 records were eligible for analysis. According to Deyo-adapted Charlson index, 62% of cases had no associated comorbidity. VF were the cause of hospitalisation in 52% of cases. Overall in-hospital mortality was 3.5%. Men had higher adjusted mortality than women. Mean hospital stay was 11.4+/-0.2 days. Identified cases amounted to a hospitalisation rate of 2.76 cases per 10,000 population aged >or=30 years. Direct inpatient hospital costs exceeded 41 million euros and accounted for 0.078% of Spanish expenditure on hospitalisations and specialised care in 2002. Conclusions: The national discharge database reveals epidemiological features of hospitalised osteoporosis-attributable VF and indicates an association with a substantial hospital burden in Spain. Our data provide a basis for assessing the impact of these fractures on the Spanish health-care system and to estimate future care requirements. | es_ES |
dc.description.sponsorship | This study was supported by the Spanish National I+D Program (SEC 2001–0138). C. Bouza is the recipient of a post-doctoral contract from the Dirección General de Universidades e Investigación, Consejería de Educación de la Comunidad de Madrid (n° 02/0381/2002). | es_ES |
dc.language.iso | eng | es_ES |
dc.publisher | Springer | es_ES |
dc.type.hasVersion | VoR | es_ES |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Administrative data | es_ES |
dc.subject | Health services research | es_ES |
dc.subject | Osteoporosis | es_ES |
dc.subject | Vertebral fractures | es_ES |
dc.subject.mesh | Hospitalization | es_ES |
dc.subject.mesh | Adult | es_ES |
dc.subject.mesh | Age Distribution | es_ES |
dc.subject.mesh | Aged | es_ES |
dc.subject.mesh | Aged, 80 and over | es_ES |
dc.subject.mesh | Comorbidity | es_ES |
dc.subject.mesh | Databases, Factual | es_ES |
dc.subject.mesh | Female | es_ES |
dc.subject.mesh | Health Care Costs | es_ES |
dc.subject.mesh | Hospital Mortality | es_ES |
dc.subject.mesh | Humans | es_ES |
dc.subject.mesh | Length of Stay | es_ES |
dc.subject.mesh | Male | es_ES |
dc.subject.mesh | Middle Aged | es_ES |
dc.subject.mesh | Osteoporosis | es_ES |
dc.subject.mesh | Patient Discharge | es_ES |
dc.subject.mesh | Population Surveillance | es_ES |
dc.subject.mesh | Sex Distribution | es_ES |
dc.subject.mesh | Spain | es_ES |
dc.subject.mesh | Spinal Fractures | es_ES |
dc.title | Hospitalised osteoporotic vertebral fractures in Spain: analysis of the national hospital discharge registry | es_ES |
dc.type | research article | es_ES |
dc.rights.license | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.identifier.pubmedID | 17221295 | es_ES |
dc.format.volume | 18 | es_ES |
dc.format.number | 5 | es_ES |
dc.format.page | 649-657 | es_ES |
dc.identifier.doi | 10.1007/s00198-006-0292-x | es_ES |
dc.contributor.funder | Plan Nacional de I+D+i (España) | es_ES |
dc.contributor.funder | Comunidad de Madrid (España) | es_ES |
dc.description.peerreviewed | Sí | es_ES |
dc.relation.publisherversion | https://doi.org/10.1007/s00198-006-0292-x | es_ES |
dc.identifier.journal | Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA | es_ES |
dc.repisalud.centro | ISCIII::Agencia de Evaluación de Tecnologías Sanitarias | es_ES |
dc.repisalud.institucion | ISCIII | es_ES |
dc.rights.accessRights | open access | es_ES |
dc.relation.projectFECYT | info:eu-repo/grantAgreement/ES/SEC2001-0138 | es_ES |