Economic Burden, Length of Hospital Stay and Complication of Simultaneous versus Staged Bilateral Hip Arthroplasty: A Hospital Prospective Study.

IF 2.1 Q3 HEALTH CARE SCIENCES & SERVICES ClinicoEconomics and Outcomes Research Pub Date : 2024-10-17 eCollection Date: 2024-01-01 DOI:10.2147/CEOR.S479173
Maoye Shen, Wenxue Jiang, Ping Qian, Gaorui Cai, Xiaona Wu, Jinghua Wang, Xianjia Ning, Lixia Song
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Abstract

Background: Bilateral hip arthroplasty is a common surgical intervention for patients with bilateral hip disease. The decision between simultaneous versus staged procedures remains debated, primarily due to concerns over cost, postoperative recovery, and complication rates. This study aimed to evaluate the economic burden and clinical outcomes of simultaneous versus staged bilateral hip arthroplasty.

Methods: In this single-center, prospective study, patients who underwent bilateral hip replacement at XXX between 2021 and 2022 were included. Participants were divided into groups based on the surgical approach: simultaneous bilateral hip arthroplasty or staged bilateral hip arthroplasty. Data on costs, operation times, hospital stay lengths, and postoperative outcomes were collected and analyzed.

Results: A total of 57 patients were studied, with 45 undergoing simultaneous and 12 staged surgeries. The total cost for staged procedures was significantly higher, with a mean difference of 63,967.54 yuan compared to simultaneous procedures. No significant difference was found in prosthesis costs between the groups. Operation times and hospital stays did not significantly differ, with averages closely aligned between the simultaneous (operation time: 3.2 hours, hospital stay: 5 days) and staged groups (operation time: 3.4 hours, hospital stay: 5.2 days). The obesity rate was higher in the simultaneous group (P < 0.05).

Conclusion: Simultaneous bilateral hip arthroplasty appears to be an economically favorable option, with comparable perioperative and immediate postoperative outcomes to staged procedures. These insights have significant implications for clinical practice and policy-making, suggesting that simultaneous procedures can be safely implemented for appropriate patients, potentially optimizing healthcare resources.

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同时与分期双侧髋关节置换术的经济负担、住院时间和并发症:一项医院前瞻性研究。
背景:双侧髋关节置换术是双侧髋关节疾病患者常见的手术治疗方法。关于同时手术与分期手术的抉择仍存在争议,主要是出于对成本、术后恢复和并发症发生率的担忧。本研究旨在评估同期与分期双侧髋关节置换术的经济负担和临床效果:在这项单中心前瞻性研究中,纳入了 2021 年至 2022 年期间在 XXX 接受双侧髋关节置换术的患者。根据手术方法将参与者分为两组:同期双侧髋关节置换术或分期双侧髋关节置换术。收集并分析了有关费用、手术时间、住院时间和术后效果的数据:共有 57 名患者接受了研究,其中 45 人接受了同期手术,12 人接受了分期手术。分期手术的总费用明显高于同期手术,平均差异为 63,967.54 元。两组的假体费用无明显差异。手术时间和住院时间没有明显差异,同时手术组(手术时间:3.2 小时,住院时间:5 天)和分阶段手术组(手术时间:3.4 小时,住院时间:5.2 天)的平均值非常接近。同时手术组的肥胖率更高(P < 0.05):结论:同步双侧髋关节置换术似乎是一种经济实惠的选择,其围手术期和术后即刻效果与分期手术相当。这些见解对临床实践和政策制定具有重要意义,表明可以为合适的患者安全实施同期手术,从而优化医疗资源。
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来源期刊
ClinicoEconomics and Outcomes Research
ClinicoEconomics and Outcomes Research HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.70
自引率
0.00%
发文量
83
审稿时长
16 weeks
期刊最新文献
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