The increased total cost associated with post-operative drains in total hip and knee arthroplasty
| Autor: | Brian P. Gladnick, David J. Mayman, Alexander B. Christ, Alexander S. McLawhorn, Peter K. Sculco, Benjamin T. Bjerke-Kroll |
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| Rok vydání: | 2013 |
| Předmět: |
musculoskeletal diseases
Male medicine.medical_specialty Cost effectiveness Total cost medicine.medical_treatment Arthroplasty Replacement Hip Cost-Benefit Analysis Total hip replacement Length of hospitalization Postoperative Hemorrhage Suction Total knee Blood loss Osteoarthritis medicine Humans Orthopedics and Sports Medicine Postoperative Period Post operative Arthroplasty Replacement Knee Aged business.industry Length of Stay Middle Aged musculoskeletal system Arthroplasty Surgery surgical procedures operative Treatment Outcome Anesthesia Female business |
| Zdroj: | The Journal of arthroplasty. 29(5) |
| ISSN: | 1532-8406 |
| Popis: | In a consecutive series of 536 unilateral primary total hip arthroplasties (THAs) and 598 unilateral primary total knee arthroplasties (TKAs), the use of a post-operative drain was associated with $538 additional cost per THA, and $455 for TKA. The use of a drain increased hospital length of stay (LOS) for THA, but not for TKA. In both groups, the use of a drain increased estimated blood loss (EBL) and increased the amount of allogeneic blood transfused. Over the 10-week period, drain use was associated with a total cost of $432,972 for our institution. Data from this study would favor a selective approach to the use of drains in primary joint arthroplasties. |
| Databáze: | OpenAIRE |
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