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Economics of open tibial fractures: the pivotal role of length-of-stay and infection
In order to define strategies to curb the continuing increase in healthcare costs, we describe the cost breakdown of open tibial fractures. Twenty-seven clinical and process variables were recorded retrospectively, and five main hospital related cost categories were defined. Three multivariate linea...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5612906/ https://www.ncbi.nlm.nih.gov/pubmed/28948497 http://dx.doi.org/10.1186/s13561-017-0168-0 |
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author | Hoekstra, Harm Smeets, Bart Metsemakers, Willem-Jan Spitz, Anne-Cécile Nijs, Stefaan |
author_facet | Hoekstra, Harm Smeets, Bart Metsemakers, Willem-Jan Spitz, Anne-Cécile Nijs, Stefaan |
author_sort | Hoekstra, Harm |
collection | PubMed |
description | In order to define strategies to curb the continuing increase in healthcare costs, we describe the cost breakdown of open tibial fractures. Twenty-seven clinical and process variables were recorded retrospectively, and five main hospital related cost categories were defined. Three multivariate linear models were fitted to the data. Total healthcare costs of open tibial fractures were almost twice as high compared to closed fractures and mainly existed of hospitalization costs. Length-of-stay (LOS) was found to be the most important variable driving the healthcare costs of open tibial fractures. Deep infection lead to a 6-fold increase of LOS and 5-fold increase in total healthcare costs of open tibial fractures. Therefore, appropriate international consensus guidelines are required to improve not only the patient outcome (infection prevention) but also reduce overall healthcare cost by focusing on reducing the LOS. |
format | Online Article Text |
id | pubmed-5612906 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-56129062017-10-10 Economics of open tibial fractures: the pivotal role of length-of-stay and infection Hoekstra, Harm Smeets, Bart Metsemakers, Willem-Jan Spitz, Anne-Cécile Nijs, Stefaan Health Econ Rev Research In order to define strategies to curb the continuing increase in healthcare costs, we describe the cost breakdown of open tibial fractures. Twenty-seven clinical and process variables were recorded retrospectively, and five main hospital related cost categories were defined. Three multivariate linear models were fitted to the data. Total healthcare costs of open tibial fractures were almost twice as high compared to closed fractures and mainly existed of hospitalization costs. Length-of-stay (LOS) was found to be the most important variable driving the healthcare costs of open tibial fractures. Deep infection lead to a 6-fold increase of LOS and 5-fold increase in total healthcare costs of open tibial fractures. Therefore, appropriate international consensus guidelines are required to improve not only the patient outcome (infection prevention) but also reduce overall healthcare cost by focusing on reducing the LOS. Springer Berlin Heidelberg 2017-09-25 /pmc/articles/PMC5612906/ /pubmed/28948497 http://dx.doi.org/10.1186/s13561-017-0168-0 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Research Hoekstra, Harm Smeets, Bart Metsemakers, Willem-Jan Spitz, Anne-Cécile Nijs, Stefaan Economics of open tibial fractures: the pivotal role of length-of-stay and infection |
title | Economics of open tibial fractures: the pivotal role of length-of-stay and infection |
title_full | Economics of open tibial fractures: the pivotal role of length-of-stay and infection |
title_fullStr | Economics of open tibial fractures: the pivotal role of length-of-stay and infection |
title_full_unstemmed | Economics of open tibial fractures: the pivotal role of length-of-stay and infection |
title_short | Economics of open tibial fractures: the pivotal role of length-of-stay and infection |
title_sort | economics of open tibial fractures: the pivotal role of length-of-stay and infection |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5612906/ https://www.ncbi.nlm.nih.gov/pubmed/28948497 http://dx.doi.org/10.1186/s13561-017-0168-0 |
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