Nogalski M P, Bach B R, Bush-Joseph C A, Luergans S
Department of Orthopaedic Surgery, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois 60612, USA.
Arthroscopy. 1995 Apr;11(2):134-8. doi: 10.1016/0749-8063(95)90057-8.
Over a 4-year period, hospital charges of 151 consecutive anterior cruciate ligament (ACL) reconstructions were retrospectively evaluated. Eighty-one patients who underwent a two-incision ACL central third autogenous patellar bone tendon bone reconstruction were compared with 72 patients who had a single-incision endoscopic reconstruction with a similar graft. Charges were adjusted for inflation. There was a statistically significant difference in hospital days (2.8 v 1.57, P = .0001), total hospital charges ($15,063 v $13,520, P = .0001), as well as operating room/hospital ward charges (P = .0001), pharmacy charges (P = .035), and physical therapy charges (P = .001). No statistical difference was observed for anesthesia or laboratory charges. A matched comparison of patients from each group who were in the hospital for 2 days showed a statistically significant reduction in operating room/hospital ward charges (P = .037), but no significant reduction in total costs. There was a trend in both groups toward shorter hospital stays in each successive year. The reduction in charges observed for the endoscopic procedure correlated with a reduction in postoperative hospital days.
在4年期间，对连续151例前交叉韧带（ACL）重建手术的医院收费情况进行了回顾性评估。将81例行双切口ACL中央三分之一自体髌腱骨重建术的患者与72例行单切口关节镜下类似移植物重建术的患者进行比较。对收费进行了通货膨胀调整。住院天数（2.8天对1.57天，P = 0.0001）、总住院费用（15,063美元对13,520美元，P = 0.0001）、手术室/医院病房费用（P = 0.0001）、药房费用（P = 0.035）和物理治疗费用（P = 0.001）存在统计学显著差异。麻醉或实验室费用未观察到统计学差异。对每组住院2天的患者进行匹配比较，结果显示手术室/医院病房费用有统计学显著降低（P = 0.037），但总成本无显著降低。两组在随后的每一年中都有住院时间缩短的趋势。关节镜手术费用的降低与术后住院天数的减少相关。
