Hermodsson Y, Persson B M
Department of Orthopaedics, Helsingborg Hospital, Sweden.
Acta Orthop Scand. 1998 Dec;69(6):603-7. doi: 10.3109/17453679808999264.
We analyzed the cost of prostheses for patients amputated because of vascular disease. During 1 year, 112 patients were treated with a primary unilateral transtibial amputation in Malmöhus county, Sweden, which has 527,000 inhabitants. During the first 6 months after the amputation, 50% (56/112) of the patients had received a prosthesis. At 6 months, 49 patients (7 had died) were examined, 18 had poor and 31 had good prosthetic function. Within 1 year, 71 (63%) patients had been fitted with a prosthesis. During 8 years after the amputation, they received altogether 137 prostheses and 54 exchange sockets; 59% of the prostheses and 26% of the sockets were delivered during the first year. Each patient received a median of 1 prosthesis and 1 extra socket. During the 8-year period, the total cost of prostheses, sockets and maintenance for the 71 patients was USD 228,746, representing a median cost of USD 1,582 per patient. The total cost of maintenance of the prostheses during the same period was USD 37,959, representing 20% of the total cost of all the prostheses and sockets. There was no statistically significant difference in the costs between patients with good or poor function.
我们分析了因血管疾病而截肢患者的假肢成本。在1年期间，瑞典马尔默胡斯郡有112例患者接受了初次单侧经胫骨截肢手术，该郡有52.7万居民。截肢后的前6个月，50%（56/112）的患者接受了假肢。在6个月时，对49例患者（7例已死亡）进行了检查，其中18例假肢功能差，31例假肢功能良好。在1年内，71例（63%）患者安装了假肢。截肢后的8年期间，他们共接受了137个假肢和54个更换接受腔；59%的假肢和26%的接受腔在第一年交付。每位患者平均接受1个假肢和1个额外的接受腔。在这8年期间，71例患者的假肢、接受腔及维护的总成本为228,746美元，每位患者的中位数成本为1,582美元。同期假肢维护的总成本为37,959美元，占所有假肢和接受腔总成本的20%。功能良好或功能差的患者之间成本无统计学显著差异。
