{"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, Lars Borgquist, 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, Lars Borgquist, 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}
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.