Journal ArticleDOI
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
Reads0
Chats0
TLDR
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.Abstract:
The aim of the present study was to identify patient factors associated with higher costs in hip fracture patients. The mean costs of a prospectively observed sample of 402 patients were 8853 €. The ASA score, Charlson comorbidity index, and fracture location were associated with increased costs. Fractures of the proximal end of the femur (hip fractures) are of increasing incidence due to demographic changes. Relevant co-morbidities often present in these patients cause high complication rates and prolonged hospital stays, thus leading to high costs of acute care. The aim of this study was to perform a precise cost analysis of the actual hospital costs of hip fractures and to identify patient factors associated with increased costs. The basis of this analysis was a prospectively observed single-center trial, which included 402 patients with fractures of the proximal end of the femur. All potential cost factors were recorded as accurately as possible for each of the 402 patients individually, and statistical analysis was performed to identify associations between pre-existing patient factors and acute care costs. The mean total acute care costs per patient were 8853 ± 5676 € with ward costs (5828 ± 4294 €) and costs for surgical treatment (1972 ± 956 €) representing the major cost factors. The ASA score, Charlson comorbidity index, and fracture location were identified as influencing the costs of acute care for hip fracture treatment. Hip fractures are associated with high acute care costs. This study underlines the necessity of sophisticated risk-adjusted payment models based on specific patient factors. Economic aspects should be an integral part of future hip fracture research due to limited health care resources.read more
Citations
More filters
Journal ArticleDOI
The Coming Hip and Femur Fracture Bundle: A New Inpatient Risk Stratification Tool for Care Providers:
TL;DR: This analysis of a 2-year cohort of patients who would qualify for the BPCI Advanced hip and femur procedure bundle demonstrates that the STTGMA tool can be used to identify high-risk patients who fall outside the bundle.
Journal ArticleDOI
Admitting Service Affects Cost and Length of Stay of Hip Fracture Patients.
TL;DR: It is highlighted that the admitting service should be an area of focus for hospitals when developing programs to provide effective and cost-conscious care to hip fracture patients.
Journal ArticleDOI
The epidemiology and economic burden of hip fractures in Israel
TL;DR: The direct costs of hip fractures in Israel among the elderly are approximately 719 million NIS per year, and changes in the country’s healthcare policy on hip fractures are required.
Journal ArticleDOI
Estimated expenditures for hip fractures using merged healthcare insurance data for individuals aged ≥ 75 years and long-term care insurance claims data in Japan.
Takahiro Mori,Nanako Tamiya,Xueying Jin,Boyoung Jeon,Satoru Yoshie,Katsuya Iijima,Tatsuro Ishizaki +6 more
TL;DR: This is the first study to estimate healthcare and long-term care expenditures post-hip fracture using claims data in Japan and found healthcare expenditure was positively associated with longer duration of hospital stay and monthly long- term care expenditure was negatively associated with higher Charlson Comorbidity Index scores.
Journal ArticleDOI
Impact of structural and economic factors on hospitalization costs, inpatient mortality, and treatment type of traumatic hip fractures in Switzerland
Tarun Mehra,Rudolf M. Moos,Burkhardt Seifert,Matthias Bopp,Oliver Senn,Hans-Peter Simmen,Valentin Neuhaus,Bernhard Ciritsis +7 more
TL;DR: It was shown that insurance status and treatment in university hospitals were significantly associated with treatment type, cost, and lower inpatient mortality respectively, indicating the seeming importance of insurance type on hip fracture treatment and the large inequity in the distribution of privately insured between provider types.
References
More filters
Journal ArticleDOI
“Mini-mental state”: A practical method for grading the cognitive state of patients for the clinician
Marshal F. Folstein,Marshal F. Folstein,Susan E B Folstein,Susan E B Folstein,Paul R. McHugh,Paul R. McHugh +5 more
TL;DR: A simplified, scored form of the cognitive mental status examination, the “Mini-Mental State” (MMS) which includes eleven questions, requires only 5-10 min to administer, and is therefore practical to use serially and routinely.
A practical method for grading the cognitive state of patients for the clinician
TL;DR: The Mini-Mental State (MMS) as mentioned in this paper is a simplified version of the standard WAIS with eleven questions and requires only 5-10 min to administer, and is therefore practical to use serially and routinely.
Journal ArticleDOI
A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation☆
TL;DR: The method of classifying comorbidity provides a simple, readily applicable and valid method of estimating risk of death fromComorbid disease for use in longitudinal studies and further work in larger populations is still required to refine the approach.
Journal ArticleDOI
Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version.
Journal ArticleDOI
Incidence and economic burden of osteoporosis-related fractures in the United States, 2005-2025.
RT Burge,RT Burge,Bess Dawson-Hughes,Daniel H. Solomon,John B. Wong,King Ab,Anna N. A. Tosteson +6 more
TL;DR: This study predicts the burden of incident osteoporosis‐related fractures and costs in the United States, by sex, age group, race/ethnicity, and fracture type, from 2005 to 2025.