Factors influencing the cost of prosthetic joint infection treatment.
J Hosp Infect
; 85(3): 213-9, 2013 Nov.
Article
en En
| MEDLINE
| ID: mdl-24011668
ABSTRACT
BACKGROUND:
Prosthetic joint infection (PJI) is associated with significant costs to the healthcare system. Current literature examines the cost of specific treatment modalities without assessing other cost drivers for PJI.AIMS:
To examine the overall cost of the treatment of PJI and to identify factors associated with management costs.METHODS:
The costs of treatment of prosthetic joint infections were examined in 139 patients across 10 hospitals over a 3-year period (January 2006 to December 2008). Cost calculations included hospitalization costs, surgical costs, hospital-in-the-home costs and antibiotic therapy costs. Negative binomial regression analysis was performed to model factors associated with total cost.FINDINGS:
The median cost of treating prosthetic joint infection per patient was Australian $34,800 (interquartile range 20,305, 56,929). The following factors were associated with increased treatment costs septic revision arthroplasty (67% increase in treatment cost; P = 0.02), hypotension at presentation (70% increase; P = 0.03), polymicrobial infections (41% increase; P = 0.009), surgical treatment with one-stage exchange (100% increase; P = 0.002) or resection arthroplasty (48% increase; P = 0.001) were independently associated with increased treatment costs. Culture-negative prosthetic joint infections were associated with decreased costs (29% decrease in treatment cost; P = 0.047). Treatment failure was associated with 156% increase in treatment costs.CONCLUSIONS:
This study identifies clinically important factors influencing treatment costs that may be of relevance to policy-makers, particularly in the setting of hospital reimbursement and guiding future research into cost-effective preventive strategies.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
1_ASSA2030
Problema de salud:
1_financiamento_saude
Asunto principal:
Osteoartritis
/
Infecciones Relacionadas con Prótesis
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Costos de la Atención en Salud
Tipo de estudio:
Etiology_studies
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Health_economic_evaluation
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Aged
/
Aged80
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
J Hosp Infect
Año:
2013
Tipo del documento:
Article