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.

Sprache
Englisch

Erschienen in
Journal: Health Economics Review ; ISSN: 2191-1991 ; Volume: 7 ; Year: 2017 ; Issue: 32 ; Pages: 1-11 ; Heidelberg: Springer

Klassifikation
Wirtschaft
Thema
Costs analysis
Open tibial fractures
Healthcare financing

Ereignis
Geistige Schöpfung
(wer)
Hoekstra, Harm
Smeets, Bart
Metsemakers, Willem-Jan
Spitz, Anne-Cécile
Nijs, Stefaan
Ereignis
Veröffentlichung
(wer)
Springer
(wo)
Heidelberg
(wann)
2017

DOI
doi:10.1186/s13561-017-0168-0
Handle
Letzte Aktualisierung
10.03.2025, 11:44 MEZ

Datenpartner

Dieses Objekt wird bereitgestellt von:
ZBW - Deutsche Zentralbibliothek für Wirtschaftswissenschaften - Leibniz-Informationszentrum Wirtschaft. Bei Fragen zum Objekt wenden Sie sich bitte an den Datenpartner.

Objekttyp

  • Artikel

Beteiligte

  • Hoekstra, Harm
  • Smeets, Bart
  • Metsemakers, Willem-Jan
  • Spitz, Anne-Cécile
  • Nijs, Stefaan
  • Springer

Entstanden

  • 2017

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