评估与急性阿基里斯肌修复相关的成本
Kade Wagers1, Blessing S Ofori-Atta2, William Tucker1
1Department of Orthopedic Surgery, University of Utah, Salt Lake City, UT, USA.
Foot & ankle orthopaedics
|March 21, 2024
概括
经过手术治疗的急性阿基勒斯肌撕裂的开放修复成本比穿皮技术便宜. 与学术医院相比,在门诊护理中心进行手术也可以降低总直接和设施成本.
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
- 生物机械工程 生物机械工程
背景情况:
- 随着医疗保健成本的上升,需要在骨科中进行成本效益研究.
- 急性阿基里斯肌撕裂是一种常见的损伤,需要手术干预.
- 了解成本驱动因素对于优化患者护理和资源配置至关重要.
研究的目的:
- 确定影响手术治疗急性阿基里斯肌撕裂的总直接和设施成本的因素.
- 为了比较不同手术技术和设置的成本效益,以修复阿基里斯肌.
主要方法:
- 对224名急性阿基里斯肌撕裂手术修复的患者的回顾性分析.
- 利用价值驱动结果 (VDO) 工具捕获项目级成本数据.
- 将成本调整为2022年美元,并使用玛回归来进行成本分析.
主要成果:
- 与穿皮技术相比,开放式修复与总直接成本降低了37%.
- 与学术医院相比,在门诊护理中心的手术导致总直接成本降低19%,设施成本降低41%.
- 根据患者的手术定位 (倾向于躺卧或躺卧) 观察到没有显著的成本差异.
结论:
- 开放式修复和门诊护理中心手术对于急性阿基里斯肌撕裂更具成本效益.
- 患者的位置不会显著影响阿基里斯修复的成本.
- 优化外科设置和技术可以提高骨科护理的成本效益.
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