Culler Steven D, Jevsevar David S, Shea Kevin G, McGuire Kevin J, Wright Kimberly K, Simon April W
Rollins School of Public Health, Emory University, Atlanta, Georgia.
Department of Orthopaedics, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.
J Arthroplasty. 2016 Jan;31(1):42-8. doi: 10.1016/j.arth.2015.07.037. Epub 2015 Aug 1.
This paper estimates the incremental hospital resource consumption associated with treating selected adverse events experienced by Medicare beneficiaries (MBs) undergoing total hip arthroplasty (THA). This retrospective study, using the Medicare Provider Analysis and Review file, identified 174,167 MBs who underwent THA in 2013. Overall, 20.16% of MB undergoing THA experienced at least one adverse event. MB experiencing any adverse event consumed significantly higher hospital cost ($3429) and had longer length of stays (1.0 day). The risk-adjusted incremental cost of treating adverse events ranged from a high of $27,116 (pneumonia) to a low of $2626 (hemorrhage or post-operative shock requiring transfusion). Most major adverse events occurred infrequently, however when adverse events occurred, they add substantially to the hospital resource costs of treating MB.
本文估算了接受全髋关节置换术（THA）的医疗保险受益人（MBs）发生特定不良事件后相关的医院资源消耗增量。这项回顾性研究使用医疗保险提供者分析与审查文件，确定了2013年接受THA的174,167名MBs。总体而言，接受THA的MBs中有20.16%经历了至少一次不良事件。经历任何不良事件的MBs的住院费用显著更高（3429美元），住院时间更长（1.0天）。治疗不良事件的风险调整增量成本从最高的27,116美元（肺炎）到最低的2626美元（出血或需要输血的术后休克）不等。大多数主要不良事件很少发生，然而，当不良事件发生时，它们会大幅增加治疗MBs的医院资源成本。
