Artikel
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 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.
- Language
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Englisch
- Bibliographic citation
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Journal: Health Economics Review ; ISSN: 2191-1991 ; Volume: 7 ; Year: 2017 ; Issue: 32 ; Pages: 1-11 ; Heidelberg: Springer
- Classification
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Wirtschaft
- Subject
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Costs analysis
Open tibial fractures
Healthcare financing
- Event
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Geistige Schöpfung
- (who)
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Hoekstra, Harm
Smeets, Bart
Metsemakers, Willem-Jan
Spitz, Anne-Cécile
Nijs, Stefaan
- Event
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Veröffentlichung
- (who)
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Springer
- (where)
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Heidelberg
- (when)
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2017
- DOI
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doi:10.1186/s13561-017-0168-0
- Handle
- Last update
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10.03.2025, 11:44 AM CET
Data provider
This object is provided by:
ZBW - Deutsche Zentralbibliothek für Wirtschaftswissenschaften - Leibniz-Informationszentrum Wirtschaft. If you have any questions about the object, please contact the data provider.
ZBW - Deutsche Zentralbibliothek für Wirtschaftswissenschaften - Leibniz-Informationszentrum Wirtschaft. If you have any questions about the object, please contact the data provider.
Object type
- Artikel
Associated
- Hoekstra, Harm
- Smeets, Bart
- Metsemakers, Willem-Jan
- Spitz, Anne-Cécile
- Nijs, Stefaan
- Springer
Time of origin
- 2017
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Fracture fixation of complex tibial plateau fractures
The determinants of hospital length of stay in Nigeria
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Retrograde tibial nailing of far distal tibia fractures : a biomechanical evaluation of double- versus triple-distal interlocking
Minimally invasive reconstruction of lateral tibial plateau fractures using the jail technique: a biomechanical study
Biomechanical comparison of different cerclage types in addition to an angle stable plate osteosynthesis of distal tibial fractures
An Econometric Analysis of The Impact of Telecare on The Length of Stay in Hospital
Plain X-ray is insufficient for correct diagnosis of tibial shaft spiral fractures: a prospective trial
Prolonged Application of Continuous Passive Movement Improves the Postoperative Recovery of Tibial Head Fractures : A Prospective Randomized Controlled Study
Factors that contribute to prolonged length of stay in the hospital environment
Fractures of the tibial pilon
Fracture fixation of complex tibial plateau fractures
The determinants of hospital length of stay in Nigeria
Optimization of hospital stay through length-of-stay-oriented case management: an empirical study
Optimization of hospital stay through length-of-stay-oriented case management: an empirical study
Retrograde tibial nailing of far distal tibia fractures : a biomechanical evaluation of double- versus triple-distal interlocking
Minimally invasive reconstruction of lateral tibial plateau fractures using the jail technique: a biomechanical study
Biomechanical comparison of different cerclage types in addition to an angle stable plate osteosynthesis of distal tibial fractures
An Econometric Analysis of The Impact of Telecare on The Length of Stay in Hospital
Plain X-ray is insufficient for correct diagnosis of tibial shaft spiral fractures: a prospective trial
Prolonged Application of Continuous Passive Movement Improves the Postoperative Recovery of Tibial Head Fractures : A Prospective Randomized Controlled Study