Geriatric Hip Fractures and Inpatient Services: Predicting Hospital Charges Using the ASA Score
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TLDR
The findings of this study will allow payers to identify the major cost drivers for inpatient services based on a hip fracture patient's preoperative physical status.Abstract:
Purpose. To determine if the American Society of Anesthesiologist (ASA) score can be used to predict hospital charges for inpatient services. Materials and Methods. A retrospective chart review was conducted at a level I trauma center on 547 patients over the age of 60 who presented with a hip fracture and required operative fixation. Hospital charges associated with inpatient and postoperative services were organized within six categories of care. Analysis of variance and a linear regression model were performed to compare preoperative ASA scores with charges and inpatient services. Results. Inpatient and postoperative charges and services were significantly associated with patients' ASA scores. Patients with an ASA score of 4 had the highest average inpatient charges of services of $15,555, compared to $10,923 for patients with an ASA score of 2. Patients with an ASA score of 4 had an average of 45.3 hospital services compared to 24.1 for patients with a score of 2. Conclusions. A patient's ASA score is associated with total and specific hospital charges related to inpatient services. The findings of this study will allow payers to identify the major cost drivers for inpatient services based on a hip fracture patient's preoperative physical status.read more
Citations
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Dedicated Perioperative Hip Fracture Comanagement Programs are Cost-effective in High-volume Centers: An Economic Analysis
TL;DR: Implementation of a systems-based comanagement strategy using a dedicated team to improve perioperative medical care and expedite preoperative evaluation is cost effective in hospitals with moderate volume and can result in cost savings at higher-volume centers.
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Is the ASA Score in Geriatric Hip Fractures a Predictive Factor for Complications and Readmission
TL;DR: The treatment of geriatrics hip fractures in patients with a high ASA score requires a multidisciplinary approach and a special assessment in order to decrease postoperative morbidity and mortality and offer optimal functionality.
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Patient factors associated with increased acute care costs of hip fractures: a detailed analysis of 402 patients
Rene Aigner,T. Meier Fedeler,D. Eschbach,Juliana Hack,Christopher Bliemel,Steffen Ruchholtz,Benjamin Bücking +6 more
TL;DR: A precise cost analysis of the actual hospital costs of hip fractures and to identify patient factors associated with increased costs underlines the necessity of sophisticated risk-adjusted payment models based on specific patient factors.
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Do illness rating systems predict discharge location, length of stay, and cost after total hip arthroplasty?
TL;DR: It is suggested that although ASA classifications predict discharge location and SOI scores predict length of stay and total costs, other factors beyond illness rating systems remain stronger predictors of discharge for THA patients.
References
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Effect of comorbidities and postoperative complications on mortality after hip fracture in elderly people: prospective observational cohort study
TL;DR: In elderly people with hip fracture, the presence of three or more comorbidities is the strongest preoperative risk factor and lead to increased mortality.
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TL;DR: It is concluded that ASA physical status classification was a predictor of postoperative outcome using both univariate analysis and calculation of the odds ratio of the risk of developing a postoperative complication by means of a logistic regression model.
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American Society of Anaesthesiologists physical status classification
TL;DR: The current knowledge and evaluation regarding ASA Classification of Physical Health as well as trials for possible modification are reviewed.
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ASA classification and perioperative variables as predictors of postoperative outcome
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Infection of the surgical site after arthroplasty of the hip.
TL;DR: In this paper, the authors estimate the incidence of surgical-site infection after total hip replacement (THR) and hemiarthroplasty and its strength of association with major risk factors.