Poole G H, Mills S M
Middlemore Hospital, Otahuhu Auckland.
N Z Med J. 1994 Sep 28;107(986 Pt 1):377-8.
To define the cost of inpatient treatment of flap laceration to the leg in ageing patients.
One hundred consecutive admissions over a 19 month period were reviewed retrospectively.
The mean age of flap laceration of the leg patients was 77.5 years (50-93). The mean bed stay was 14.53 days (1-36). Most patients (84%) were treated with debridement and split skin grafting. The total cost of treatment was $551,390.00. The mean delay before surgery was 41.2 hours. 92% of patients returned to the same preoperative social circumstances.
Flap laceration of the leg is expensive to treat in hospital. There are a number of strategies in which bed stay and costs can be reduced. These include early and aggressive surgery, the use of meshed skin graft, early mobilisation and early involvement of social support services.
确定老年患者腿部皮瓣撕裂伤的住院治疗费用。
回顾性分析19个月期间连续收治的100例患者。
腿部皮瓣撕裂伤患者的平均年龄为77.5岁（50 - 93岁）。平均住院时间为14.53天（1 - 36天）。大多数患者（84%）接受了清创和分层皮片移植治疗。治疗总费用为551,390.00美元。手术前的平均延迟时间为41.2小时。92%的患者恢复到术前相同的社会状况。
腿部皮瓣撕裂伤的住院治疗费用高昂。有多种策略可减少住院时间和费用。这些策略包括早期积极手术、使用网状皮片移植、早期活动以及社会支持服务的早期介入。
