Article
Trends in incidence rate, health care use, and costs due to rib fractures in the Netherlands
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Authors
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Jonne T. H. Prins
- Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands
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Mathieu M. E. Wijffels
- Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands
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Sophie M. Wooldrik
- Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands
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Martien J. M. Panneman
- VeiligheidNL, Amsterdam, Netherlands
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Michael H. J. Verhofstad
- Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands
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Esther M. M. Van Lieshout
- Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands
| Published: | October 26, 2021 |
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Outline
Text
Objectives: This study aimed to examine population-based trends in the incidence rate, health care consumption, and work absence with associated costs in patients with rib fractures.
Methods: A retrospective nationwide epidemiologic study was performed with data from patients with one or more rib fractures presented or admitted to a hospital in the Netherlands between January 1, 2015 and December 31, 2018 and have been registered in the Dutch Injury Surveillance System (DISS) or the Hospital Discharge Registry (DHR). Incidence rates were calculated using data from Statistics Netherlands. The associated direct health care costs, costs for lost productivity, and years lived with disability (YLD) were calculated using data from a questionnaire.
Results and Conclusion: In the 4-year study period, a total of 32,124 patients were registered of which 19,885 (61.9%) required hospitalization with a mean duration of 7.7 days. The incidence rate for the total cohort was 47.1 per 100,000 person years and increased with age. The mean associated direct health care costs were 6,785 euros per patient and showed a sharp increase after the age of 75 years. The mean duration of work absence was 44.2 days with associated mean indirect costs for lost productivity of 22,886 euros per patient. The mean YLD was 0.35 years and decreased with age.
Rib fractures are common and associated with lengthy HLOS and work absenteeism as well as high direct and indirect costs which appear to be similar between patients with one or multiple rib fractures and mostly affected by admitted patients and age.
