Changes in Payment Regulation and Acute Care Use for Total Hip Replacement: Trends in Length of Stay, Costs, and Discharge, 1997-2012.
Changes in Payment Regulation and Acute Care Use for Total Hip Replacement: Trends in Length of Stay, Costs, and Discharge, 1997-2012.
复制标题
全髋关节置换术支付规定和急性护理使用的变化：住院时间、费用和出院趋势，1997-2012 年。
DOI：
10.1002/rnj.210
复制
发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Merwin,ElizabethI
中科院分区：
文献类型：
--
作者：
CaryJr,MichaelP;Baernholdt,Marianne;Merwin,ElizabethI
目的：描述1997年至2012年全髋关节置换术（THR）患者的住院时间（LOS）、费用、死亡率和出院目的地的趋势。设计：纵向回顾性设计方法：对医疗保健费用和利用项目（HCUP）全国住院患者样本数据进行描述性分析。THR患者以女性为主，44-65岁的比例增加。LOS从5天减少到3天。收费增加了一倍多，从22 184美元增加到53 901美元。死亡人数从每10 000名患者中43人死亡降至12人。THR患者出院到机构设置下降，而那些出院到community increased.Conclusion：我们发现THR患者，谁是年轻的，女性，有私人保险，并在那些出院到社区为基础的settings.Clinical Relevance：调查结果有影响病人档案，工作环境，质量提高，教育准备的护士在急性和急性后环境。
Purpose:To describe trends in the length of stay (LOS), costs, mortality, and discharge destination among a national sample of total hip replacement (THR) patients between 1997 and 2012.Design:Longitudinal retrospective designMethods:Descriptive analysis of the Healthcare Cost and Utilization Project (HCUP) National Inpatient Sample data.Findings:A total of 3,516,636 procedures were performed over the study period. Most THR patients were women, and the proportion aged 44–65 years increased. LOS decreased from 5 to 3 days. Charges more than doubled, from $22,184 to $53,901. Deaths decreased from 43 to 12 deaths per 10,000 patients. THR patients discharged to an institutional setting declined, while those discharged to the community increased.Conclusion:We found an increase in THR patients, who were younger, women, had private insurance, and among those discharged to community-based settings.Clinical Relevance:Findings have implications for patient profiles, workplace environments, quality improvement, and educational preparation of nurses in acute and postacute settings.