儿童股骨干骨折三种治疗方法的成本分析:医院牵引、医院/家庭牵引和外固定的比较

Hanne Hedin, Lars Borgquist, Sune Larsson
{"title":"儿童股骨干骨折三种治疗方法的成本分析:医院牵引、医院/家庭牵引和外固定的比较","authors":"Hanne Hedin,&nbsp;Lars Borgquist,&nbsp;Sune Larsson","doi":"10.1080/00016470410001141","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>There is no consensus as to which is best treatment of femoral fractures in children.</p><p><strong>Patients and methods: </strong>We performed a cost analysis comparing three treatments of femoral shaft fractures in children aged 3-15 years at 3 hospitals during the same period (1993-2000). The analysis included total medical costs and costs for the care provider and were calculated from the time of injury up to 1 year.</p><p><strong>Results: </strong>At hospital 1, treatment consisted of external fixation and early mobilization. At hospital 2, the treatment was skin or skeletal traction in hospital for 1-2 weeks, followed by home traction. At hospital 3, treatment was skin or skeletal traction in hospital until the fracture healed.</p><p><strong>Results: </strong>The average total costs per patient were EUR 10,000 at hospital 1, EUR 23,000 at hospital 2, and EUR 38,000 at hospital 3.</p><p><strong>Interpretation: </strong>The main factor for determining the cost of treatment was the number of days in hospital, which was lower in children treated with external fixation.</p>","PeriodicalId":75403,"journal":{"name":"Acta orthopaedica Scandinavica","volume":"75 3","pages":"241-8"},"PeriodicalIF":0.0000,"publicationDate":"2004-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00016470410001141","citationCount":"30","resultStr":"{\"title\":\"A cost analysis of three methods of treating femoral shaft fractures in children: a comparison of traction in hospital, traction in hospital/home and external fixation.\",\"authors\":\"Hanne Hedin,&nbsp;Lars Borgquist,&nbsp;Sune Larsson\",\"doi\":\"10.1080/00016470410001141\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>There is no consensus as to which is best treatment of femoral fractures in children.</p><p><strong>Patients and methods: </strong>We performed a cost analysis comparing three treatments of femoral shaft fractures in children aged 3-15 years at 3 hospitals during the same period (1993-2000). The analysis included total medical costs and costs for the care provider and were calculated from the time of injury up to 1 year.</p><p><strong>Results: </strong>At hospital 1, treatment consisted of external fixation and early mobilization. At hospital 2, the treatment was skin or skeletal traction in hospital for 1-2 weeks, followed by home traction. At hospital 3, treatment was skin or skeletal traction in hospital until the fracture healed.</p><p><strong>Results: </strong>The average total costs per patient were EUR 10,000 at hospital 1, EUR 23,000 at hospital 2, and EUR 38,000 at hospital 3.</p><p><strong>Interpretation: </strong>The main factor for determining the cost of treatment was the number of days in hospital, which was lower in children treated with external fixation.</p>\",\"PeriodicalId\":75403,\"journal\":{\"name\":\"Acta orthopaedica Scandinavica\",\"volume\":\"75 3\",\"pages\":\"241-8\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2004-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1080/00016470410001141\",\"citationCount\":\"30\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Acta orthopaedica Scandinavica\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1080/00016470410001141\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta orthopaedica Scandinavica","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/00016470410001141","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 30

摘要

儿童股骨干骨折的最佳治疗方法尚无共识。患者和方法:我们对3家医院同一时期(1993-2000年)3-15岁儿童股骨干骨折的三种治疗方法进行了成本分析。分析包括总医疗费用和护理提供者的费用,并从受伤时间计算到1年。结果:在医院1,治疗包括外固定和早期活动。在医院2,治疗方法为皮肤或骨骼在医院牵引1-2周,然后在家牵引。在第三医院,治疗是在医院进行皮肤或骨骼牵引,直到骨折愈合。结果:医院1每位患者的平均总费用为10,000欧元,医院2为23,000欧元,医院3为38,000欧元。解释:决定治疗费用的主要因素是住院天数,使用外固定支架治疗的儿童住院天数较低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A cost analysis of three methods of treating femoral shaft fractures in children: a comparison of traction in hospital, traction in hospital/home and external fixation.

Introduction: There is no consensus as to which is best treatment of femoral fractures in children.

Patients and methods: We performed a cost analysis comparing three treatments of femoral shaft fractures in children aged 3-15 years at 3 hospitals during the same period (1993-2000). The analysis included total medical costs and costs for the care provider and were calculated from the time of injury up to 1 year.

Results: At hospital 1, treatment consisted of external fixation and early mobilization. At hospital 2, the treatment was skin or skeletal traction in hospital for 1-2 weeks, followed by home traction. At hospital 3, treatment was skin or skeletal traction in hospital until the fracture healed.

Results: The average total costs per patient were EUR 10,000 at hospital 1, EUR 23,000 at hospital 2, and EUR 38,000 at hospital 3.

Interpretation: The main factor for determining the cost of treatment was the number of days in hospital, which was lower in children treated with external fixation.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信