Mortalidad y costes asociados a la demora del tratamiento quírúrgico por fractura de cadera / Cost and mortality associated to the surgical delay of patients with a hip fracture. Spain

FUNDAMENTOS: La intervención quirúrgica en las fracturas de cadera suele demorarse varios días. Nuestro trabajo tiene dos objetivos. Estudiar la estancia preoperatoria de los pacientes ingresados por fractura de cadera en los hospitales vascos durante el año 2010 y medir su posible asociación con la mortalidad intrahospitalaria, y estimar el coste económico que supone la estancia preoperatoria. MÉTODOS: Se realizó un estudio observacional analizando los siguientes datos del Conjunto Mínimo Básico de Datos (CMBD): hospital, edad, sexo, estancia preoperatoria, estado al alta, diagnósticos asociados y procedimiento quirúrgico. Además, se estudió el índice de comorbilidad de Charlson y se calculó el coste unitario de la estancia pre y postoperatoria mediante modelos de regresión múltiple. RESULTADOS: Se analizó una muestra de 1.856 intervenciones. La estancia preoperatoria fue de 2,7 días y la postoperatoria de 9,7 días. El coste medio por ingreso fue de 12.552,12 euros. El coste medio de la estancia preoperatoria fue de 1295,5 euros. La mortalidad fue del 5%. CONCLUSIONES: La estancia preoperatoria no es un factor estadísticamente asociado con la mortalidad, aunque aumenta significativamente el coste total. No encontramos una asociación entre la demora quirúrgica y la mortalidad, aunque sí tiene una clara influencia en el coste total del proceso. La reducción del tiempo prequirúrgico permite ahorrar costes (AU)

BACKGROUND: Hip fractures surgery is often delayed for several days. The present work has two objectives. The first one is to determine the preoperative hospital length of stay of patients with a hip fracture in our region and its possible correlation with an increase in mortality rate. Secondly we assessed the healthcare expenditure associated to this preoperative period. METHODS: We carried out an observational, retrospective study in which all hip fractures attended in the Basque Country throughout 2010 were assessed by the Minimun Basic Data Set (MSBD): hospital, age, sex, preoperative hospital length, status at hospital discharge, comorbidities and surgical procedure. Furthermore we studied the Charlson Index and the total cost associated stratified by pre and post-operative period using a multiple model regression. RESULTS: A total of 1856 surgical procedures were analyzed. Average pre and post-operative length of stay was 2.7 and 9.7 days respectively. The mean total cost per hospital admission was 12, 552€, with 1,295.5 € corresponding to the preoperative period. The duration of preoperative stay is not associated with a significant reduction in mortality, although it did with an increase in the total cost. CONCLUSIONS: Preoperative hospital stay in patients with hip fracture is still challenging. We could not find an association between the delays in surgical procedures and hospital mortality, although it seems to be associated with an increased the total procedure cost. These results can serve as a foundation for setting up strategies to decrease the length of hospital stay, not only for cost-saving purposes (AU)

[Cost and mortality associated to the surgical delay of patients with a hip fracture. Spain]. / Mortalidad y costes asociados a la demora del tratamiento quirúrgico por fractura de cadera.

BACKGROUND: Hip fractures surgery is often delayed for several days. The present work has two objectives. The first one is to determine the preoperative hospital length of stay of patients with a hip fracture in our region and its possible correlation with an increase in mortality rate. Secondly we assessed the healthcare expenditure associated to this preoperative period. METHODS: We carried out an observational, retrospective study in which all hip fractures attended in the Basque Country throughout 2010 were assessed by the Minimun Basic Data Set (MSBD): hospital, age, sex, preoperative hospital length, status at hospital discharge, comorbidities and surgical procedure. Furthermore we studied the Charlson Index and the total cost associated stratified by pre and post-operative period using a multiple model regression. RESULTS: A total of 1856 surgical procedures were analyzed. Average pre and post-operative length of stay was 2.7 and 9.7 days respectively. The mean total cost per hospital admission was 12,552 € with 1,295.5 € € corresponding to the preoperative period. The duration of preoperative stay is not associated with a significant reduction in mortality, although it did with an increase in the total cost. CONCLUSIONS: Preoperative hospital stay in patients with hip fracture is still challenging. We could not find an association between the delays in surgical procedures and hospital mortality, although it seems to be associated with an increased the total procedure cost. These results can serve as a foundation for setting up strategies to decrease the length of hospital stay, not only for cost-saving purposes.

Mortalidad y costes asociados a la demora del tratamiento quirúrgico por fractura de cadera / Cost and mortality associated to the surgical delay of patients with a hip fracture. Spain

Fundamentos: La intervención quirúrgica en las fracturas de cadera suele demorarse varios días. Nuestro trabajo tiene dos objetivos. Estudiar la estancia preoperatoria de los pacientes ingresados por fractura de cadera en los hospitales vascos durante el año 2010 y medir su posible asociación con la mortalidad intrahospitalaria, y estimar el coste económico que supone la estancia preoperatoria. Métodos: Se realizó un estudio observacional analizando los siguientes datos del Conjunto Mínimo Básico de Datos (CMBD): hospital, edad, sexo, estancia preoperatoria, estado al alta, diagnósticos asociados y procedimiento quirúrgico. Además, se estudió el índice de comorbilidad de Charlson y se calculó el coste unitario de la estancia pre y postoperatoria mediante modelos de regresión múltiple. Resultados: Se analizó una muestra de 1.856 intervenciones. La estancia preoperatoria fue de 2,7 días y la postoperatoria de 9,7 días. El coste medio por ingreso fue de 12.552,12 euros. El coste medio de la estancia preoperatoria fue de 1295,5 euros. La mortalidad fue del 5%. Conclusiones: La estancia preoperatoria no es un factor estadísticamente asociado con la mortalidad, aunque aumenta significativamente el coste total. No encontramos una asociación entre la demora quirúrgica y la mortalidad, aunque sí tiene una clara influencia en el coste total del proceso. La reducción del tiempo prequirúrgico permite ahorrar costes (AU)

Background: Hip fractures surgery is often delayed for several days. The present work has two objectives. The first one is to determine the preoperative hospital length of stay of patients with a hip fracture in our region and its possible correlation with an increase in mortality rate. Secondly we assessed the healthcare expenditure associated to this preoperative period. Methods: We carried out an observational, retrospective study in which all hip fractures attended in the Basque Country throughout 2010 were assessed by the Minimun Basic Data Set (MSBD): hospital, age, sex, preoperative hospital length, status at hospital discharge, comorbidities and surgical procedure. Furthermore we studied the Charlson Index and the total cost associated stratified by pre and post-operative period using a multiple model regression. Results: A total of 1856 surgical procedures were analyzed. Average pre and post-operative length of stay was 2.7 and 9.7 days respectively. The mean total cost per hospital admission was 12, 552€, with 1,295.5 € corresponding to the preoperative period. The duration of preoperative stay is not associated with a significant reduction in mortality, although it did with an increase in the total cost. Conclusions: Preoperative hospital stay in patients with hip fracture is still challenging. We could not find an association between the delays in surgical procedures and hospital mortality, although it seems to be associated with an increased the total procedure cost. These results can serve as a foundation for setting up strategies to decrease the length of hospital stay, not only for cost-saving purposes (AU)