一家专业三级护理中心全髋关节置换术后假体周围感染的经济影响
The Economic Impact of Periprosthetic Infections After Total Hip Arthroplasty at a Specialized Tertiary-Care Center.
作者信息
Kapadia Bhaveen H, Banerjee Samik, Cherian Jeffrey J, Bozic Kevin J, Mont Michael A
机构信息
Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Baltimore, Maryland.
Department of Orthopaedics, Dell Medical School, University of Texas At Austin, Austin, Texas.
出版信息
J Arthroplasty. 2016 Jul;31(7):1422-6. doi: 10.1016/j.arth.2016.01.021. Epub 2016 Jan 21.
BACKGROUND
Periprosthetic infections after total hip arthroplasty represent an increased risk for patient morbidity and mortality, and an increased economic burden. The purpose of this study was to compare a group of patients who had periprosthetic infections after total hip arthroplasty to a matched group of patients who underwent primary total hip arthroplasty in terms of the associated costs, length of hospitalization, and number of readmissions (within 1 year).
METHODS
Between 2007 and 2011, 16 consecutive infected patients were matched to 32 noninfected patients (1:2 ratio).
RESULTS
The mean episode cost, length of hospitalization, and median readmissions was significantly higher in the infected group when compared to the matched cohort: $88,623 vs $25,659, 7.6 vs 3.29 days, and 2 vs 0, respectively.
CONCLUSION
Periprosthetic infections after THA resulted in an increased episode cost by approximately 3-fold, mean hospitalization period 2-fold, and led to a higher median number of readmissions.
背景
全髋关节置换术后假体周围感染会增加患者发病和死亡风险，以及经济负担。本研究的目的是比较一组全髋关节置换术后发生假体周围感染的患者与一组接受初次全髋关节置换术的匹配患者在相关费用、住院时间和再入院次数（1年内）方面的情况。
方法
在2007年至2011年期间，将16例连续的感染患者与32例未感染患者进行匹配（比例为1:2）。
结果
与匹配队列相比，感染组的平均单次发作费用、住院时间和再入院中位数显著更高：分别为88,623美元对25,659美元、7.6天对3.29天、2次对0次。
结论
全髋关节置换术后假体周围感染导致单次发作费用增加约3倍，平均住院时间增加2倍，并导致更高的再入院中位数。
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