增加初级全关节整形手术医院费用的风险因素
Hemant P Reddy1, Michael Biskup2, Jonathan Rubin1
1Department of Orthopedic Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York.
The Journal of arthroplasty
|March 15, 2024
概括
较高的体重指数 (BMI) 和某些并发症,如周围血管疾病 (PVD),慢性肺病 (CPD),病,以及较高的美国麻醉学会 (ASA) 评分,增加了关节整形术 (THA) 的总成本. 这些因素对THA患者的医院费用产生重大影响.
科学领域:
- 整形外科手术 整形外科手术
- 卫生经济学 卫生经济学
- 医疗信息学 医疗信息学
背景情况:
- 患者的医疗复杂性显著提高了与初级全关节整形术 (THA) 相关的成本.
- 了解特定并发症的财务影响对于THA的成本管理至关重要.
- 这项研究量化了THA患者各种疾病的实际医院费用影响.
研究的目的:
- 确定特定的医学并发症与初级全关节整形手术 (THA) 的实际医院费用之间的关联.
- 为了确定患者因素,独立预测THA手术的住院费用增加.
- 提供数据,以优化资源分配和THA的成本效益.
主要方法:
- 从2017年1月到2020年3月,对1,222个初级THA (CPT代码27130) 遭遇的回顾性分析.
- 从一个大规模的城市学术医疗中心收集了患者人口统计数据,并发病情况和入院数据.
- 利用单变量和多变量玛回归来确定与增加的THA医院费用相关的因素.
主要成果:
- 平均THA成本为30580美元. 增加的成本与更高的BMI (>35),ASA得分 (3-4),糖尿病,充血性心力衰竭,PVD,CPD和病有关.
- 多变量分析证实了较高的BMI,ASA 3-4,PVD,CPD和病与增加的THA成本之间的独立关联.
- 患有BMI> 35的患者的成本增加主要是由房间/餐饮和手术室费用所驱动的.
结论:
- 肥胖 (BMI > 35),周围血管疾病 (PVD),慢性肺病 (CPD),病,以及美国麻醉学会 (ASA) 较高的得分 (3-4) 是THA更高的住院医院费用的重要预测因素.
- 这些并发症独立地导致THA入院期间的财务负担增加.
- 识别和管理这些风险因素可能有助于减轻THA的医疗保健成本上升.
相关概念视频
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.2K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
4.2K
Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K


