Comparison of Health Care Costs Between Aseptic and Two Stage Septic Hip Revision

被引：23
|
作者：
Assmann, Grit [1 ]
Kasch, Richard [2 ,3 ]
Maher, Christopher G. [3 ]
Hofer, Andre [2 ]
Barz, Thomas [4 ]
Merk, Harry [2 ]
Flessa, Steffen [1 ]
机构：
[1] Ernst Moritz Arndt Univ Greifswald, Fac Law & Econ, Dept Hlth Care Management, Greifswald, Germany
[2] Univ Med Greifswald, Clin & Outpatient Clin Orthopaed & Orthopaed Surg, D-17475 Greifswald, Germany
[3] Univ Sydney, George Inst, Sydney, NSW 2006, Australia
[4] Asklepios Hosp Uckermark, Dept Orthopaed & Trauma Surg, Schwedt, Germany
来源：
JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 10期
关键词：
Cost comparison; THA revision; septic; aseptic; economic analysis; TOTAL JOINT ARTHROPLASTY; KNEE ARTHROPLASTY; RESOURCE UTILIZATION; ECONOMIC BURDEN; INFECTION; IMPACT;
D O I：
10.1016/j.arth.2014.04.043
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
The number of septic and aseptic total hip arthroplasty (THA) revisions will increase, which involves a greater financial burden. We here provide a retrospective consecutive analysis of the major variable direct costs involved in revision THA for aseptic and septic failure. A total of 144 patients (30 septic, 114 aseptic) treated between January 1, 2009 and March 31, 2012 was included. The management of septic THA loosening is much more expensive than that of aseptic loosening ($14,379.8 vs. $5,487.4). This difference is mainly attributable to the two-stage exchange technique used for septic failure (hospital stay: 40.2 vs. 15.6 days) and significantly higher implant costs ($3,930.9 vs. $2,298.2). The septic implantation part is on average $3,384.6 more expensive than aseptic procedures (P < .001). (c) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码：1925 / 1931
页数：7
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