整体部和膝关节关节整形术后的并发症的住院费用
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Updated: Jan 10, 2026

04:41
Knee Arthrocentesis in Adults
Published on: February 25, 2022
9.1K
Crispiana Cozowicz1, Haoyan Zhong2, Lisa Reisinger3
1Department of Anesthesiology, Perioperative Medicine and Intensive Care Medicine, Paracelsus Medical University, Salzburg, Austria.
Anesthesiology
|November 20, 2025
概括
关节和膝关节置换手术后的主要并发症显著增加了医院费用和住院时间. 经常出现的诸如败血症和功能衰竭等问题导致整体医疗保健支出高于罕见的严重事件.
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
- 患者安全 患者安全
背景情况:
- 在美国,每年发生超过100万次关节和膝关节置换 (THA/TKA).
- 主要的术后并发症,虽然不常见,但显著提高医疗保健成本.
- 单个并发症的具体经济影响还不清楚.
研究的目的:
- 评估重大术后并发症对医院费用的影响.
- 评估并发症对THA/TKA患者住院时间 (LOS) 的影响.
- 为了确定导致医疗保健支出增加的特定并发症.
主要方法:
- 来自Premier Healthcare索赔数据库 (2006-2022) 的2,361,402名THA/TKA患者的分析.
- 评估主要的手术后并发症单独和集群.
- 一般化估计方程模型用于比较成本并报告百分比变化.
主要成果:
- 在没有并发症的情况下,TKA的中位成本为16,802美元,THA的中位成本为17,250美元.
- 三种或更多的并发症 (35477美元),败血症 (30633美元) 和心肌梗塞 (28908美元) 显示TKA的最高成本.
- 经调整后的成本增加在3+并发症 (+136%),败血症 (+88%) 和心肌梗塞 (+73%) 中最高. 常见的并发症,如功能衰竭 (+26%) 和肺部并发症 (+23%) 是主要的成本驱动因素.
结论:
- 术后并发症大大增加了医院费用,主要是通过长期的LOS.
- 虽然败血症,中风和心脏病发作每例都很昂贵,但频繁的并发症和资源使用 (ICU,功能衰竭,肺部问题) 会增加整体负担.
- 针对频繁的并发症和资源密集型护理流程,可能会降低关节整形手术的开支.
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