The utilisation and cost of social care after hip fracture: a prospective observational cohort study.
Background The cost of medical care associated with hip fracture has been reported but the cost of social care is less well understood. Social care costs include formal residential and home care and home adaptations, but also informal care from family and friends. This study investigated the utilisa...
| Publicado en: | Age & Ageing Vol. 55; no. 1; pp. 1 - 9 |
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| Autores principales: | , , , , , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Jan2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=192513108&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 192513108 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Jan2026 vid: 55 iid: 1 pid: 622 pub: Oxford University Press / USA artinfo: ui: 192513108 10.1093/ageing/afaf358 ppf: 1 ppct: 8 formats: tig: atl: The utilisation and cost of social care after hip fracture: a prospective observational cohort study. aug: au: Goh, En Lin Png, May Ee Metcalfe, David Achten, Juul Appelbe, Duncan Griffin, Xavier Luke Cook, Jonathan Alistair Costa, Matthew Lee Investigators, WHiTE affil: Oxford Trauma and Emergency Care, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK Bone and Joint Health, Blizard Institute, Queen Mary University of London Barts and The London School of Medicine and Dentistry, London, UK Oxford Clinical Trials Research Unit, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK su: United Kingdom Home care services Interviewing Medical care costs Hip fractures Research funding T-test (Statistics) Scientific observation Questionnaires Logistic regression analysis Descriptive statistics Longitudinal method Research Data analysis software Confidence intervals Health outcome assessment Time Disease complications sug: subj: Home care services Interviewing Medical care costs United Kingdom Offices of all other health practitioners Offices of All Other Miscellaneous Health Practitioners Home Health Care Services Services for the Elderly and Persons with Disabilities Hip fractures Research funding T-test (Statistics) Scientific observation Questionnaires Logistic regression analysis Descriptive statistics Longitudinal method Research Data analysis software Confidence intervals Health outcome assessment Time Disease complications keyword: complications copyrightHolder:British Geriatrics Society copyrightYear:2026 cost hip fracture hip fractures https://dx.doi.org/10.1093/ageing/afaf358 inLanguage:en older people publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/41579036/ social care complications copyrightHolder:British Geriatrics Society copyrightYear:2026 cost hip fracture hip fractures https://dx.doi.org/10.1093/ageing/afaf358 inLanguage:en older people publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/41579036/ social care ab: Background The cost of medical care associated with hip fracture has been reported but the cost of social care is less well understood. Social care costs include formal residential and home care and home adaptations, but also informal care from family and friends. This study investigated the utilisation and cost of care beyond acute hospital stays following hip fracture. Methods A multi-centre, prospective observational study of patients ≥60 years with a hip fracture in the United Kingdom (UK), with 120-day follow-up. Marginal costs were calculated, with scenario analysis projecting the cost to the UK hip fracture population. A two-part model was used to calculate the incremental mean cost attributable to complications following surgery. Results Amongst 16 679 patients with a hip fracture, the mean cost of social care was £15 525 (95% CI: 14 991–16 059) per person. Mean cost per person for the change in residential requirements was £1656 (95% CI: 1568–1743); formal and informal home care £12 849 (95% CI: 12 448–13 250); and home adaptations £1021 (95% CI: 976–1067). The projected national cost of social care in the first 120 days following all hip fractures in the UK was £1.25 billion. Incremental mean cost of social care for patients who developed a surgery-specific or general complication were £1264 (95% CI: 58–2469) and £1418 (95% CI: 792–2043) per person, respectively. Conclusion Social care represents a substantial and often under-recognised component of the economic burden following hip fracture. Formal and informal care were major cost drivers after discharge from hospital and may rival or exceed the cost of acute hospital care. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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