Direct medical costs of traumatic thoracolumbar spine fractures
Direct medical costs of traumatic thoracolumbar spine fractures
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DOI：
10.1080/17453670510041745
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发表时间：
2005-10-01
影响因子：
3.7
通讯作者：
Boers, M
中科院分区：
文献类型：
--
作者：
van der Roer, N;de Bruyne, MC;Boers, M
BackgroundThe costs and cost effectiveness of treatment of thoracolumbar fractions are poorly known.MethodsWe estimated the costs of hospital care and outpatient visits for patients with traumatic thoracolumbar spine fractions.ResultsStable fractions without neurological deficits were treated nonoperative and the costs were EUR 5，100.无神经功能缺损的不稳定骨折采用非手术治疗，平均住院29天，平均费用为12，500欧元（其中86%为住院费用），或采用手术治疗，平均住院24天，平均费用为19，700欧元（其中48%为住院费用，42%为手术费用）。不稳定骨折伴神经功能缺损通常需要手术治疗（平均费用31，900欧元）。解释对于所有患者来说，住院天数的费用是主要的费用驱动因素。虽然不稳定骨折和无神经功能缺损的患者手术治疗的住院时间短于非手术治疗的患者，但由于手术的额外费用，总费用较高。因此，手术治疗必须显示出更好的结果，以超过成本。未来的研究应集中在无神经功能缺损的不稳定性椎体骨折患者的手术和非手术治疗的成本效益上，并考虑间接成本和生活质量。
BackgroundThe costs and cost-effectiveness of treatment of thoracolumbar fractures are poorly known.MethodsWe estimated the costs of hospital care and outpatient visits for patients with traumatic thoracolumbar spine fractures.ResultsStable fractures without neurological deficits were treated nonoperatively and the costs were EUR 5,100. Unstable fractures without neurological deficits were treated either nonoperatively, with an average of 29 hospitalization days and average cost of EUR 12,500 (86% of which represented hospitalization costs), or operatively with 24 hospitalization days and average cost of EUR 19,700 (48% of which represented hospitalization costs and 42% surgery costs). Unstable fractures with neurological deficits were usually operated (average costs EUR 31,900).InterpretationFor all patients, the costs of hospitalization days were the main cost driver. Although the length of stay for patients with unstable fractures and without neurological deficit who were treated operatively was shorter than for patients treated nonoperatively, the total costs were higher due to the additional costs of surgery. Surgical treatment must therefore be shown to give a better outcome in order to outweigh the costs. Future research should focus on the cost-effectiveness of operative and nonoperative treatment of patients with unstable vertebral fractures who have no neurological deficits, and take indirect costs and quality of life into account.