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Table 2 Intergroup comparison of clinical outcomes, medical expenses, mortality rates, and coverage for early osteoporosis diagnosis and treatment

From: Improved outcomes and reduced medical costs through multidisciplinary co-management protocol for geriatric proximal femur fractures: a one-year retrospective study

 

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 (â„–)

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

 
  1. Mann-Whitney test. Chi-Square test. *p < 0.05, **p < 0.01
  2. Continuous data were expressed with mean ± SD
  3. Categorial data were expressed with number and percentage