Table 2 Intergroup comparison of clinical outcomes, medical expenses, mortality rates, and coverage for early osteoporosis diagnosis and treatment
|
Conventional group (n = 311) |
Protocol group (n = 267) | p value | ||||
|---|---|---|---|---|---|---|
| Acute in-hospital stay | ||||||
| Length of hospital stay (day) | 11.9 | ± 12.1 | 11.6 | ± 10.5 | 0.041* | |
| Medical expenditure (NTD) | 163,269 | ± 161,522 | 135,503 | ± 117,206 | 0.006* | |
| Time to surgery | ||||||
| Window from ER to OR (hrs) | 46 | ± 93 | 34 | ± 43 | 0.059 | |
| Time to surgery > 48 h (№) | 59 | (20.6%) | 42 | (15.8%) | 0.174 | |
| Osteoporosis diagnosis and anti-osteoporosis agent prescription | ||||||
| BMD assessment (№) | 163 | (52.4%) | 253 | (94.8%) | < 0.001** | |
| Prescription of anti-osteoporosis medication (№) | 78 | (25.1%) | 155 | (58.1%) | < 0.001** | |
| Re-fracture (№) | 38 | (12.2%) | 32 | (12.0%) | 1.000 | |
| Returns for overall medical services (1-year) | ||||||
| Number of patients returned (№) | 263 | (84.6%) | 236 | (88.4%) | 0.225 | |
| Average expenditure per returned patient (NTD) | 131,766 | ± 237,171 | 114,001 | ± 219,625 | 0.621 | |
| Average expenditure per patient in treatment group (NTD) | 111,429 | ± 223,190 | 100,765 | ± 209,649 | 0.692 | |
| Returns for outpatient clinic (1-year) | ||||||
| Number of patients returned (№) | 251 | (80.7%) | 226 | (84.6%) | 0.257 | |
| Average visits per returned patient (times) | 13 | ± 12 | 13 | ± 13 | 0.448 | |
| Average expenditure per returned patient (NTD) | 55,079 | ± 124,811 | 38,121 | ± 52,255 | 0.261 | |
| Average expenditure per patient in treatment group (NTD) | 44,453 | ± 114,178 | 32,267 | ± 49,993 | 0.096 | |
| Returns for emergency department (1-year) | ||||||
| Number of patients returned (№) | 83 | (26.7%) | 74 | (27.7%) | 0.855 | |
| Average visits per returned patient (times) | 2 | ± 2 | 2 | ± 2 | 0.973 | |
| Average expenditure per returned patient (NTD) | 21,620 | ± 24,358 | 22,184 | ± 25,092 | 0.502 | |
| Average expenditure per patient in treatment group (NTD) | 5770 | ± 15,770 | 6148 | ± 16,485 | 0.694 | |
| Returns for inpatient admission (1-year) | ||||||
| Number of patients returned (№) | 78 | (25.1%) | 57 | (21.3%) | 0.338 | |
| Average visits per returned patient (times) | 2 | ± 2 | 2 | ± 1 | 0.815 | |
| Average expenditure per returned patient (NTD) | 244,042 | ± 267,379 | 292,056 | ± 300,443 | 0.634 | |
| Average expenditure per patient in treatment group (NTD) | 61,207 | ± 170,248 | 62,349 | ± 182,700 | 0.331 | |
| Mortality | ||||||
| In-hospital mortality | 18 | (5.8%) | 5 | (1.9%) | 0.029* | |
| 1-year mortality | N/A | 31 | (11.6%) | N/A | ||