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
相关论文
共 50 条
  • [31] The influence of antibiotic-loaded cement spacers on the risk of reinfection after septic two-stage hip revision surgery
    Staats, Kevin
    Sevelda, Florian
    Kaider, Alexandra
    Boehler, Christoph
    Sigmund, Irene K.
    Puchner, Stephan E.
    Windhager, Reinhard
    Holinka, Johannes
    INFECTION, 2017, 45 (06) : 885 - 891
  • [32] Clinical evaluation of a new technique for custom-made spacers in septic two-stage revision of total hip arthroplasties
    Mederake, Moritz
    Hofmann, Ulf Krister
    Fink, Bernd
    ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 2023, 143 (08) : 5395 - 5403
  • [33] Clinical evaluation of a new technique for custom-made spacers in septic two-stage revision of total hip arthroplasties
    Moritz Mederake
    Ulf Krister Hofmann
    Bernd Fink
    Archives of Orthopaedic and Trauma Surgery, 2023, 143 : 5395 - 5403
  • [34] The Use of Intraoperative Cell Salvage in Two-Stage Revision of Septic Hip Arthroplasties: A Double-Center Retrospective Study
    Krueger, Lara
    Strahl, Andre
    Koepke, Leon-Gordian
    Fink, Bernd
    Beil, Frank Timo
    Hubert, Jan
    ANTIBIOTICS-BASEL, 2023, 12 (06):
  • [35] A comparison between optimal and actuarial health care costs of adolescents with diabetes
    Cameron, FJ
    Widdison, J
    Boyce, D
    Gebert, R
    JOURNAL OF PAEDIATRICS AND CHILD HEALTH, 2004, 40 (1-2) : 56 - 59
  • [36] A comparison of mortality rates following revision hip arthroplasty for periprosthetic fracture, infection or aseptic loosening
    Barrow, Jonathan A.
    Divecha, Hiren M.
    Hastie, Graham R.
    Jones, Henry Wynn
    Board, Tim N.
    HIP INTERNATIONAL, 2023, 33 (06) : 1049 - 1055
  • [37] Point-of-Care Synovial Lactate to Distinguish Between Septic and Aseptic Arthritis
    Farshidpour, L.
    Tallman, Ives C.
    Shu, E.
    Darracq, M.
    Young, M.
    ANNALS OF EMERGENCY MEDICINE, 2018, 72 (04) : S73 - S73
  • [38] Comparison of outcomes and operative course between septic and aseptic nonunion in long bones
    Lucas Haase
    Tyler Moon
    Andrew Burcke
    Jacob Speybroeck
    Robert Wetzel
    John Sontich
    George Ochenjele
    Joshua Napora
    European Journal of Orthopaedic Surgery & Traumatology, 2023, 33 : 1929 - 1935
  • [39] Comparison of outcomes and operative course between septic and aseptic nonunion in long bones
    Haase, Lucas
    Moon, Tyler
    Burcke, Andrew
    Speybroeck, Jacob
    Wetzel, Robert
    Sontich, John
    Ochenjele, George
    Napora, Joshua
    EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY, 2023, 33 (05): : 1929 - 1935
  • [40] Coordination pays off: a comparison of two models for organizing hip fracture care, outcomes and costs
    Loefgren, Susanne
    Rehnberg, Clas
    Ljunggren, Gunnar
    Brommels, Mats
    INTERNATIONAL JOURNAL OF HEALTH PLANNING AND MANAGEMENT, 2015, 30 (04): : 426 - 438
12345