择期手术患者的体重与住院时间及医院服务费用的关系：两项手术的研究
The relation of body weight to length of stay and charges for hospital services for patients undergoing elective surgery: a study of two procedures.
作者信息
Epstein A M, Read J L, Hoefer M
出版信息
Am J Public Health. 1987 Aug;77(8):993-7. doi: 10.2105/ajph.77.8.993.
Abstract
We studied the relation of body weight to lengths of stay and total charges for all patients hospitalized at the Brigham and Women's Hospital for total knee replacement and total hip replacement during a 12-month period. Patients with moderate obesity (actual body weight 141-170 per cent of ideal) had lengths of stay and total charges similar to normal weight patients (body weight 100-110 per cent ideal). However, patients who were extremely overweight (body weight greater than or equal to 188 per cent ideal) had mean lengths of stay 35 per cent longer (28.9 days vs 21.5) and total charges 30 per cent higher ($25,692 vs $19,576) than patients with normal weight. Those who were extremely underweight (body weight less than or equal to 75 per cent ideal) had mean lengths of stay 40 per cent longer (30.1 days vs 21.5) and total charges 35 per cent higher ($26,447 vs $19,576).
摘要
我们研究了在12个月期间于布莱根妇女医院接受全膝关节置换术和全髋关节置换术的所有患者的体重与住院时间及总费用之间的关系。中度肥胖患者（实际体重为理想体重的141%-170%）的住院时间和总费用与正常体重患者（体重为理想体重的100%-110%）相似。然而，极度超重患者（体重大于或等于理想体重的188%）的平均住院时间比正常体重患者长35%（28.9天对21.5天），总费用高30%（25,692美元对19,576美元）。那些极度体重过轻的患者（体重小于或等于理想体重的75%）平均住院时间长40%（30.1天对21.5天），总费用高35%（26,447美元对19,576美元）。
相似文献
1
The relation of body weight to length of stay and charges for hospital services for patients undergoing elective surgery: a study of two procedures.择期手术患者的体重与住院时间及医院服务费用的关系：两项手术的研究
Am J Public Health. 1987 Aug;77(8):993-7. doi: 10.2105/ajph.77.8.993.
2
Resource utilization and charges of patients with and without diagnosed venous thromboembolism during primary hospitalization and after elective inpatient surgery: a retrospective study.初次住院期间及择期住院手术后确诊和未确诊静脉血栓栓塞患者的资源利用及费用：一项回顾性研究
J Med Econ. 2018 Jun;21(6):595-602. doi: 10.1080/13696998.2018.1445635. Epub 2018 Mar 1.
3
Geographic variations in the rates of elective total hip and knee arthroplasties among Medicare beneficiaries in the United States.美国医疗保险受益人中选择性全髋关节和膝关节置换术发生率的地域差异。
J Bone Joint Surg Am. 1992 Dec;74(10):1530-9.
4
Why do sicker patients cost more? A charge-based analysis of patients undergoing prostatectomy.病情较重的患者为何花费更高？一项基于收费的前列腺切除术患者分析。
J Urol. 1993 Jan;149(1):84-8. doi: 10.1016/s0022-5347(17)36005-6.
5
Revision arthroplasty: a high price to pay.翻修关节成形术：需付出高昂代价。
BMJ. 1989 Mar 11;298(6674):648-9. doi: 10.1136/bmj.298.6674.648.
6
The hospital cost of total hip arthroplasty. A comparison between 1981 and 1990.
J Bone Joint Surg Am. 1993 Mar;75(3):321-5. doi: 10.2106/00004623-199303000-00002.
7
Revision and primary hip and knee arthroplasty. A cost analysis.髋关节和膝关节翻修术与初次置换术。成本分析。
Clin Orthop Relat Res. 1995 Feb(311):136-41.
8
Does high BMI influence hospital charges in children undergoing adenotonsillectomy?高体重指数会影响接受腺扁桃体切除术的儿童的住院费用吗？
Obesity (Silver Spring). 2008 Jul;16(7):1667-71. doi: 10.1038/oby.2008.234. Epub 2008 Apr 17.
9
[Total knee and hip prosthesis: variables associated with costs].[全膝关节和髋关节假体：与成本相关的变量]
Cir Cir. 2013 May-Jun;81(3):207-13.
10
Mortality, length of stay, and inpatient charges for heart failure patients at public versus private hospitals in South Korea.韩国公立医院与私立医院中心力衰竭患者的死亡率、住院时间及住院费用。
Yonsei Med J. 2015 May;56(3):853-61. doi: 10.3349/ymj.2015.56.3.853.
引用本文的文献
1
TOTAL HIP ARTHROPLASTY IN THE PUBLIC HEALTH SYSTEM OF SÃO PAULO: COMPARING TYPES OF FIXATION.圣保罗公共卫生系统中的全髋关节置换术：固定类型比较
Acta Ortop Bras. 2022 Nov 11;30(5):e251150. doi: 10.1590/1413-785220223005e251150. eCollection 2022.
2
The Influence of Obesity on Unicompartmental Knee Arthroplasty Outcomes: A Systematic Review And Meta-Analysis.肥胖对单髁膝关节置换术结果的影响：一项系统评价和荟萃分析。
Arch Bone Jt Surg. 2021 Nov;9(6):618-632. doi: 10.22038/ABJS.2021.57357.2842.
3
Is It Time We Changed How We Measure Length of Stay for Hip and Knee Arthroplasty?是时候改变我们衡量髋关节和膝关节置换术住院时间的方式了吗？
J Am Acad Orthop Surg Glob Res Rev. 2017 Oct 9;1(6):e032. doi: 10.5435/JAAOSGlobal-D-17-00032. eCollection 2017 Sep.
4
Clinical outcomes for the obese hospital inpatient: An observational study.肥胖症住院患者的临床结局：一项观察性研究。
SAGE Open Med. 2017 Mar 23;5:2050312117700065. doi: 10.1177/2050312117700065. eCollection 2017.
5
Effects of the Length of Stay on the Cost of Total Knee and Total Hip Arthroplasty from 2002 to 2013.2002年至2013年住院时间对全膝关节置换术和全髋关节置换术费用的影响
J Bone Joint Surg Am. 2017 Mar 1;99(5):402-407. doi: 10.2106/JBJS.16.00019.
6
Addressing obesity in the management of knee and hip osteoarthritis - weighing in from an economic perspective.从经济学角度探讨膝关节和髋关节骨关节炎管理中的肥胖问题
BMC Musculoskelet Disord. 2016 May 26;17:233. doi: 10.1186/s12891-016-1087-7.
7
Economies of scale: body mass index and costs of cardiac surgery in Ontario, Canada.规模经济：加拿大安大略省的体重指数与心脏手术成本
Eur J Health Econ. 2017 May;18(4):471-479. doi: 10.1007/s10198-016-0803-4. Epub 2016 May 11.
8
Severe and morbid obesity (BMI ≥ 35 kg/m(2)) does not increase surgical time and length of hospital stay in total knee arthroplasty surgery.重度和病态肥胖（体重指数≥35千克/平方米）并不会增加全膝关节置换手术的手术时间和住院时长。
Knee Surg Sports Traumatol Arthrosc. 2015 Jun;23(6):1713-9. doi: 10.1007/s00167-014-3002-9. Epub 2014 Apr 26.
9
Obesity increases length of stay and direct medical costs in total hip arthroplasty.肥胖症增加了全髋关节置换术的住院时间和直接医疗费用。
Clin Orthop Relat Res. 2014 Apr;472(4):1232-9. doi: 10.1007/s11999-013-3316-9. Epub 2013 Oct 8.
10
Medical and financial risks associated with surgery in the elderly obese.老年肥胖患者手术相关的医疗和财务风险。
Ann Surg. 2012 Jul;256(1):79-86. doi: 10.1097/SLA.0b013e31825375ef.
本文引用的文献
1
OPERATIVE TREATMENT OF ADENOCARCINOMA OF THE ENDOMETRIUM IN OBESE WOMEN.
Am J Obstet Gynecol. 1965 May 1;92:16-22. doi: 10.1016/0002-9378(65)90100-6.
2
Effect of obesity on respiratory complications following general anesthesia.肥胖对全身麻醉后呼吸并发症的影响。
Anesth Analg. 1962 Jul-Aug;41:448-52.
3
The role of anesthesia in surgical mortality.麻醉在手术死亡率中的作用。
JAMA. 1961 Oct 21;178:261-6. doi: 10.1001/jama.1961.03040420001001.
4
National health expenditures, 1983.1983年国家卫生支出
Health Care Financ Rev. 1984 Winter;6(2):1-29.
5
Patterns of obstetrical care in hospitals.
Med Care. 1981 Jan;19(1):55-67. doi: 10.1097/00005650-198101000-00007.
6
Obesity. Cardiovascular and respiratory pathophysiological alterations.肥胖。心血管和呼吸生理病理改变。
Arch Intern Med. 1981 Mar;141(4):431-4.
7
Reduction of operative morbidity and mortality by combined preoperative and postoperative nutritional support.术前和术后联合营养支持降低手术发病率和死亡率。
Ann Surg. 1980 Nov;192(5):604-13. doi: 10.1097/00000658-198019250-00004.
8
High-cost users of medical care.高医疗成本使用者。
N Engl J Med. 1980 May 1;302(18):996-1002. doi: 10.1056/NEJM198005013021804.
9
The sensitivity and specificity of nutrition-related variables in relationship to the duration of hospital stay and the rate of complications.
Mayo Clin Proc. 1984 Jul;59(7):477-83. doi: 10.1016/s0025-6196(12)60437-6.
10
Determinants of hospital use: a cross-diagnostic analysis.
Med Care. 1983 Jan;21(1):48-66.
Zotero 插件