Hedin Hanne, Borgquist Lars, Larsson Sune
Department of Orthopedics, Falun Hospital, Falun, Sweden.
Acta Orthop Scand. 2004 Jun;75(3):241-8. doi: 10.1080/00016470410001141.
There is no consensus as to which is best treatment of femoral fractures in children.
We performed a cost analysis comparing three treatments of femoral shaft fractures in children aged 3-15 years at 3 hospitals during the same period (1993-2000). The analysis included total medical costs and costs for the care provider and were calculated from the time of injury up to 1 year.
At hospital 1, treatment consisted of external fixation and early mobilization. At hospital 2, the treatment was skin or skeletal traction in hospital for 1-2 weeks, followed by home traction. At hospital 3, treatment was skin or skeletal traction in hospital until the fracture healed.
The average total costs per patient were EUR 10,000 at hospital 1, EUR 23,000 at hospital 2, and EUR 38,000 at hospital 3.
The main factor for determining the cost of treatment was the number of days in hospital, which was lower in children treated with external fixation.
对于儿童股骨骨折的最佳治疗方法尚无共识。
我们进行了一项成本分析，比较了同期（1993 - 2000年）3家医院对3至15岁儿童股骨干骨折的三种治疗方法。分析包括总医疗成本以及护理提供者的成本，计算时间从受伤时至1年。
在医院1，治疗方法为外固定和早期活动。在医院2，治疗方法是在医院进行1 - 2周的皮肤或骨骼牵引，随后在家中牵引。在医院3，治疗方法是在医院进行皮肤或骨骼牵引直至骨折愈合。
每家医院每位患者的平均总成本在医院1为10,000欧元，在医院2为23,000欧元，在医院3为38,000欧元。
决定治疗成本的主要因素是住院天数，接受外固定治疗的儿童住院天数较少。
