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首页> 外文学位 >The Health Economic Implications of Perioperative Delirium in Older Orthopaedic Surgery Patients with Fragility Hip Fractures.
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The Health Economic Implications of Perioperative Delirium in Older Orthopaedic Surgery Patients with Fragility Hip Fractures.

机译：易碎性髋部骨折的老年骨科手术患者围手术期r妄的健康经济意义。

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摘要

Patients who experience fragility hip fractures are at high risk for delirium. However, little is known about changes in health resource utilization associated with this adverse event. The objectives of this work were to quantify the difference in episode of care costs and length of stay from the hospital perspective between patients who do and do not experience perioperative delirium. Patient care data from a single centre were linked with micro-case costing reports. Propensity matching and regression modeling were used to control for potential confounders. Delirium was found to be associated with significant incremental episode of care costs and length of stay. The difference in costs was partly, but not fully, explained by differences in length of stay. Future work should focus on confirming the generalizability of these findings, assessing the impact using broader economic perspectives, and implementing cost-effective interventions to reduce the rate of perioperative delirium in this population.
机译：髋关节易碎的患者发生del妄的风险很高。但是，关于这种不良事件相关的卫生资源利用变化知之甚少。这项工作的目的是从医院的角度量化有或没有经历围手术期del妄的患者之间的护理费用和住院时间的差异。来自单个中心的患者护理数据与微案例成本报告相关联。倾向匹配和回归模型用于控制潜在的混杂因素。发现妄与护理费用和住院时间的显着增加有关。费用差异部分但并非全部由住院时间的差异解释。未来的工作应集中在确认这些发现的一般性，使用更广泛的经济角度评估影响以及实施具有成本效益的干预措施以减少该人群围手术期del妄的发生率。

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  • 作者

    Zywiel, Michael George.;

  • 作者单位

    University of Toronto (Canada).;

  • 授予单位 University of Toronto (Canada).;
  • 学科 Surgery.
  • 学位 M.Sc.
  • 年度 2016
  • 页码 165 p.
  • 总页数 165
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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