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[股骨近端骨折患者体重指数升高治疗费用上涨分析]

[Analysis of rising treatment cost of elevated BMI in patients with proximal femoral fracture].

作者信息

Gutwerk Alexander, Müller Michael, Crönlein Moritz, Kirchhoff Chlodwig, Biberthaler Peter, Pförringer Dominik, Braun Karl

机构信息

Klinik für Orthopädie, Unfall‑, Hand- und Plastische Chirurgie, DIAKO Krankenhaus, Knuthstr. 1, 24939, Flensburg, Deutschland.

Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, München, Deutschland.

出版信息

Unfallchirurgie (Heidelb). 2023 Jun;126(6):449-455. doi: 10.1007/s00113-022-01187-8. Epub 2022 May 23.

DOI:10.1007/s00113-022-01187-8
PMID:35925229
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10232620/
Abstract

Driven by the aging population, the proximal femoral fracture is a rising fracture entity, challenging trauma surgeons as well as the German healthcare system as a whole. The rising average age of the population is accompanied by a rising BMI in the German population, resulting in longer operation times, longer average length of stay (ALOS) as well as more postoperative complications.The aim of this study was to demonstrate the economic correlation between body mass index and hospital costs. The retrospective analysis of 950 patient cases suffering from a proximal femoral fracture resulted in the finding of rising treatment costs being positively associated with rising BMI due to longer operation times and longer length of hospitalization (10,452 €, 11,505 €, 12,085 € and 13,681 € for patients with BMI < 18.5 kg/m, BMI = 18.5-24.9 kg/m, BMI = 25.0-29.9 kg/m and BMI ≥ 30.0 kg/m, respectively).

摘要

受人口老龄化的驱动，股骨近端骨折是一种日益增多的骨折类型，对创伤外科医生以及整个德国医疗体系都构成了挑战。德国人口平均年龄的增长伴随着体重指数（BMI）的上升，导致手术时间延长、平均住院时间（ALOS）延长以及术后并发症增多。本研究的目的是证明体重指数与医院成本之间的经济关联。对950例股骨近端骨折患者病例进行回顾性分析后发现，由于手术时间延长和住院时间延长，治疗成本的增加与BMI的上升呈正相关（BMI<18.5kg/m²、BMI=18.5-24.9kg/m²、BMI=25.0-29.9kg/m²和BMI≥30.0kg/m²的患者，治疗成本分别为10452欧元、11505欧元、12085欧元和13681欧元）。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d206/10232620/2a4a4b867f24/113_2022_1187_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d206/10232620/70a94e5e1ef3/113_2022_1187_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d206/10232620/f37fc0cf85b6/113_2022_1187_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d206/10232620/3a1ce1ab6249/113_2022_1187_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d206/10232620/2a4a4b867f24/113_2022_1187_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d206/10232620/70a94e5e1ef3/113_2022_1187_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d206/10232620/f37fc0cf85b6/113_2022_1187_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d206/10232620/3a1ce1ab6249/113_2022_1187_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d206/10232620/2a4a4b867f24/113_2022_1187_Fig4_HTML.jpg

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J Clin Med. 2020 Jul 2;9(7):2076. doi: 10.3390/jcm9072076.
2
The effect of body mass index on 30-day complications after total hip arthroplasty.体重指数对全髋关节置换术后30天并发症的影响。
Hip Int. 2020 Mar;30(2):125-134. doi: 10.1177/1120700019826482. Epub 2019 Feb 5.
3
Risk factors for prolonged operative time in femoral neck fracture patients undergoing hemiarthroplasty through direct anterior approach.
[Influencing factors on operating times for metal bar removal after Nuss repair].[Nuss修复术后取出金属棒手术时间的影响因素]
Chirurgie (Heidelb). 2023 Sep;94(9):796-803. doi: 10.1007/s00104-023-01914-w. Epub 2023 Jun 23.
4
Validation of Three Tools for Estimating the Risk of Primary Osteoporosis in an Elderly Male Population in Beijing.验证三种工具在评估北京老年男性原发性骨质疏松症风险中的应用。
Clin Interv Aging. 2023 May 24;18:845-853. doi: 10.2147/CIA.S410239. eCollection 2023.
采用直接前路入路行半髋关节置换术的股骨颈骨折患者手术时间延长的危险因素。
J Orthop Sci. 2018 Nov;23(6):977-981. doi: 10.1016/j.jos.2018.07.003. Epub 2018 Aug 4.
4
[The Economic Challenge of Centralised Treatment of Patients with Periprosthetic Infections].
Z Orthop Unfall. 2018 Feb 7. doi: 10.1055/s-0044-100732.
5
[Changes in the patient population with proximal femur fractures over the last decade : Incidence, age, comorbidities, and length of stay].[过去十年近端股骨骨折患者群体的变化：发病率、年龄、合并症及住院时间]
Unfallchirurg. 2018 Aug;121(8):649-656. doi: 10.1007/s00113-017-0425-z.
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