{"title":"斯里拉杰医学院骨质疏松性股骨颈骨折患者半关节置换术的住院费用","authors":"","doi":"10.35755/jmedassocthai.2023.02.13680","DOIUrl":null,"url":null,"abstract":"Background: The medical cost of osteoporotic hip fracture has become a great burden for the healthcare system. In Thailand, studies on the costs of bipolar hemiarthroplasty treatment for osteoporotic femoral neck fractures are limited and not up to date.\n\nObjective: To evaluate the in-hospital costs of treating the elderly with osteoporotic femoral neck fractures receiving hemiarthroplasty treatment.\n\nMaterials and Methods: Patients with hip fractures who were 60 years or older and underwent bipolar hemiarthroplasty were prospectively observed. All patients were managed according to the Siriraj hip fracture fast-track and Fracture Liaison Service protocols. The authors collected details of the in-hospital costs incurred during the admission period and identified factors associated with an increasing in these costs.\n\nResults: Between February 1 and July 31, 2020, 50 patients were enrolled in the present study. Their average age was 78.3 years, and most had a Charlson comorbidity index of more than 5. The median total in-hospital costs for treatment were 5,013.25 USD with a range of 3,695.05 to 13,193.77 USD. Most of the total in-hospital costs occurred intraoperatively, with 29% of the total costs related to the cost of a prosthesis. The factors associated with an increase in costs were the length of stay (probability p<0.001) and postoperative pneumonia (p=0.038).\n\nConclusion: In-hospital costs of hip fracture have become a great burden for patients and caregivers. Strategies to reduce total costs during hospitalization should focus on early surgery coupled with rehabilitation, which results in shorter stays.\n\nKeywords: Cost analysis; Femoral neck fracture; Hemiarthroplasty; In-hospital costs","PeriodicalId":17486,"journal":{"name":"Journal of the Medical Association of Thailand = Chotmaihet thangphaet","volume":"90 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"In-Hospital Costs of Hemiarthroplasty in Patients with Osteoporotic Femoral Neck Fracture at Faculty of Medicine Siriraj Hospital\",\"authors\":\"\",\"doi\":\"10.35755/jmedassocthai.2023.02.13680\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: The medical cost of osteoporotic hip fracture has become a great burden for the healthcare system. In Thailand, studies on the costs of bipolar hemiarthroplasty treatment for osteoporotic femoral neck fractures are limited and not up to date.\\n\\nObjective: To evaluate the in-hospital costs of treating the elderly with osteoporotic femoral neck fractures receiving hemiarthroplasty treatment.\\n\\nMaterials and Methods: Patients with hip fractures who were 60 years or older and underwent bipolar hemiarthroplasty were prospectively observed. All patients were managed according to the Siriraj hip fracture fast-track and Fracture Liaison Service protocols. The authors collected details of the in-hospital costs incurred during the admission period and identified factors associated with an increasing in these costs.\\n\\nResults: Between February 1 and July 31, 2020, 50 patients were enrolled in the present study. Their average age was 78.3 years, and most had a Charlson comorbidity index of more than 5. The median total in-hospital costs for treatment were 5,013.25 USD with a range of 3,695.05 to 13,193.77 USD. Most of the total in-hospital costs occurred intraoperatively, with 29% of the total costs related to the cost of a prosthesis. The factors associated with an increase in costs were the length of stay (probability p<0.001) and postoperative pneumonia (p=0.038).\\n\\nConclusion: In-hospital costs of hip fracture have become a great burden for patients and caregivers. Strategies to reduce total costs during hospitalization should focus on early surgery coupled with rehabilitation, which results in shorter stays.\\n\\nKeywords: Cost analysis; Femoral neck fracture; Hemiarthroplasty; In-hospital costs\",\"PeriodicalId\":17486,\"journal\":{\"name\":\"Journal of the Medical Association of Thailand = Chotmaihet thangphaet\",\"volume\":\"90 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-02-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of the Medical Association of Thailand = Chotmaihet thangphaet\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.35755/jmedassocthai.2023.02.13680\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the Medical Association of Thailand = Chotmaihet thangphaet","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.35755/jmedassocthai.2023.02.13680","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
In-Hospital Costs of Hemiarthroplasty in Patients with Osteoporotic Femoral Neck Fracture at Faculty of Medicine Siriraj Hospital
Background: The medical cost of osteoporotic hip fracture has become a great burden for the healthcare system. In Thailand, studies on the costs of bipolar hemiarthroplasty treatment for osteoporotic femoral neck fractures are limited and not up to date.
Objective: To evaluate the in-hospital costs of treating the elderly with osteoporotic femoral neck fractures receiving hemiarthroplasty treatment.
Materials and Methods: Patients with hip fractures who were 60 years or older and underwent bipolar hemiarthroplasty were prospectively observed. All patients were managed according to the Siriraj hip fracture fast-track and Fracture Liaison Service protocols. The authors collected details of the in-hospital costs incurred during the admission period and identified factors associated with an increasing in these costs.
Results: Between February 1 and July 31, 2020, 50 patients were enrolled in the present study. Their average age was 78.3 years, and most had a Charlson comorbidity index of more than 5. The median total in-hospital costs for treatment were 5,013.25 USD with a range of 3,695.05 to 13,193.77 USD. Most of the total in-hospital costs occurred intraoperatively, with 29% of the total costs related to the cost of a prosthesis. The factors associated with an increase in costs were the length of stay (probability p<0.001) and postoperative pneumonia (p=0.038).
Conclusion: In-hospital costs of hip fracture have become a great burden for patients and caregivers. Strategies to reduce total costs during hospitalization should focus on early surgery coupled with rehabilitation, which results in shorter stays.
Keywords: Cost analysis; Femoral neck fracture; Hemiarthroplasty; In-hospital costs