The Korean National Health Insurance Program covers 100% of the population (97% have health insurance and 3% are covered by medical aid).
The purpose of this study is to assess incidences of hip fracture, patterns of mortality following hip fracture in the entire population, and to document excess mortality due to hip fracture in people over 50 yr of age in Korea.
Every clinic, hospital and pharmacy in Korea is obliged to submit patient data regarding healthcare services and medical costs to the HIRA for reimbursement. In this study, we evaluated nationwide data regarding incidence and mortality after hip fracture in Korea by using administrative claims database of the Health Insurance Review and Assessment Service (HIRA), which comprises of fully adjudicated medical and pharmacy claims for 50 million beneficiaries in Korea. Even though many epidemiologic studies related to mortality and morbidity following hip fracture have been published in the western countries ( 10), these studies cannot be used for reference purposes due to geographical variations ( 11, 12).
In contrast with studies on the incidence of hip fracture, morbidity and mortality studies related to hip fracture in Asia are rare, and the studies have been performed with limited sample size ( 7 - 9). Recently, population-based epidemiologic studies on hip fracture in Asia have reported relatively high incidences of hip fracture, and confirmed that the number of hip fractures is likely to increase markedly in the near future ( 4 - 6). It has been estimated that in 2050, approximately 50% of all hip fractures in the world will occur in Asia ( 2, 3), and thus, it is expected that hip fractures are likely to present a serious socioeconomic problem in developing Asian countries ( 2, 4, 5). In many countries, populations are aging and many studies have reported significant increases in the incidence of hip fracture with age ( 1, 2). Of all fracture types in the elderly resulting from osteoporosis, hip fracture is the most serious, and has high associated levels of morbidity and mortality. The increasing incidence and the high mortality after hip fracture are likely to become serious public health problems and a public health program should begin to prevent hip fractures in Korea. The mean of standardized mortality ratio of hip fracture was 6.1 at 3 months, 3.5 at 1 yr, and 2.3 at 2 yr post-fracture. Crude mortality within 12 months after hip fracture showed a similar trend (18.8% in 2005 and 17.8% in 2007).
#Mon hira doi dy medley code
All patients were followed using patient identification code to identify deaths. This study was performed on patient population, aged 50-yr or older who underwent surgical procedures because of hip fracture (ICD10 S720, S721). The authors evaluated the incidence of hip fracture and subsequent mortality in Korea using nationwide data obtained from the Health Insurance Review and Assessment Service.
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