■在本文中,我们报告了一项初步研究的结果,该研究分析了作为日常病例进行骨盆截骨术对髋关节发育不良(DDH)的影响。我们从财务角度和住院病床资源角度评估了将小儿骨盆截骨术作为日常手术的优势。
这是一项前瞻性队列研究,分析了在2017年1月1日至2019年9月30日的三年时间内对DDH进行的Salter和Pemberton骨盆截骨术。居住在医院50公里范围内的所有患者都有资格进行日间手术。所有其他病例均作为住院患者进行。进行了详细的财务成本分析,并记录了所利用的住院资源,并在两种护理模式之间进行了比较。
■总共,在2017年1月1日至2019年9月30日期间进行了84次Salter和Pemberton截骨术。在这些案件中,35例作为日间手术进行。据报道,住院天数总共减少了70天。需要入住两晚的单个住院患者的总费用为5,752欧元,而据报告,日间病例的出院费用为2,670欧元。我们机构每天节省3082欧元。三年共节省了102,696欧元。总之,由于疼痛控制不足,七天病例患者重新就诊。他们需要通宵入院,并于第二天顺利出院。
■日间骨盆截骨术显著减少了择期儿科骨科使用的住院天数。每个案件可以节省超过3,000欧元的大量资金。如果有明确的方案和密切的临床随访,则引入日间骨盆截骨术可以显着提高管理DDH的成本效益。
■IV.
UNASSIGNED: In this article we report the results of a pilot study analysing the implications of performing pelvic osteotomies for developmental dysplasia of the hip (
DDH) as a day
case. We assess the advantages of performing paediatric pelvic osteotomies as day-case procedures from a financial perspective and from an in-patient bed resource point of view.
UNASSIGNED: This was a prospective cohort study analysing Salter and Pemberton pelvic osteotomies performed for
DDH over a three-year period from 1st January 2017 to 30th September 2019. All patients residing within 50 km of the hospital were eligible for day-case procedures. All other cases were performed as in-patients. A detailed financial costing analysis was performed and the in-patient resources utilized were documented and compared between the two models of care.
UNASSIGNED: In total, 84 Salter and Pemberton osteotomies were performed between 1st January 2017 to 30th September 2019. Of these cases, 35 were performed as day-
case procedures. A total reduction in 70 in-patient bed days was reported. Total costs for a single in-patient requiring two nights of admission amounted to €5,752, whereas the discharge cost of a day case was reported at €2,670. The savings made by our institution amounted to €3,082 per day case. A total saving of €102,696 was made over three years. In all, seven day-case patients re-attended due to inadequate pain control. They required overnight admission and were discharged uneventfully the following day.
UNASSIGNED: Day-case pelvic osteotomies significantly reduce the number of in-patient bed days used in an elective paediatric orthopaedic setting. Significant financial savings in excess of €3,000 per case are possible. The introduction of day-case pelvic osteotomy procedures can significantly improve the cost-effectiveness of managing
DDH provided there are clear protocols in place with close clinical follow-up.
UNASSIGNED: IV.