■这项研究的目的是确定(1)住院时间(LOS)的比率是否,(2)再入院,(3)医疗并发症,(4)接受初次全髋关节置换术(THA)治疗股骨颈骨折(FNFs)的抑郁症(DD)患者的护理费用较高.
■对2006年至2014年接受原发性THA的患者的国家行政索赔数据库进行回顾性查询。接受THA治疗FNF的DD患者与队列匹配的倾向评分为1:5比率(DD=6,758,对照=33,708)。主要终点包括LOS,90天医疗并发症,90天再入院,和医疗报销。P值小于0.05被认为具有统计学意义。
■与没有DD的患者相比,有DD的患者的LOS更长(5.6天与5.4天,P<0.001)。类似的再入院率(29.9%与25.0%,组间观察到比值比[OR]1.03,P=0.281)。与对照组相比,DD患者发生90天医疗并发症的几率更高(60.6%vs.21.4%,或1.57,P<0.0001)。在90天的护理间隔内,有DD病史的患者的医疗保健支出显著增加(21,382美元与$19,781,P<0.001)。
■我们的研究结果表明LOS更长,90天医疗并发症的几率更高,与匹配的队列相比,在初次THA治疗DD患者的FNF后90天的医疗支出更高。因此,因此,DD患者在接受手术前应接受咨询.
UNASSIGNED: The purpose of this study was to determine whether the rates of (1) in-hospital lengths of stay (LOS), (2) readmissions, (3) medical complications, and (4) costs of care are higher for patients with depressive disorder (DD) undergoing primary total hip arthroplasty (THA) for treatment of femoral neck fractures (FNFs).
UNASSIGNED: A retrospective query of a national administrative claims database for patients undergoing primary THA from 2006 to 2014 was conducted. Patients with DD undergoing THA for treatment of FNF were 1:5 ratio propensity score matched to a cohort (DD=6,758, controls=33,708). Primary endpoints included LOS, 90-day medical complications, 90-day readmissions, and healthcare reimbursements. A P-value less than 0.05 was considered statistically significant.
UNASSIGNED: Longer LOS were observed for patients with DD compared to those without DD (5.6 days vs. 5.4 days, P<0.001). Similar readmission rates (29.9% vs. 25.0%, odds ratio [OR] 1.03, P=0.281) were observed between groups. The odds of 90-day medical complications were higher for patients with DD compared to control subjects (60.6% vs. 21.4%, OR 1.57, P<0.0001). Within the 90-day episode of care interval, patients with a history of DD incurred significantly higher healthcare expenditures ($21,382 vs. $19,781, P<0.001).
UNASSIGNED: Our findings showed longer LOS, higher odds of 90-day medical complications, and higher healthcare expenditures within the 90-day episode of care following a primary THA for treatment of FNF for patients with DD compared to the matched cohort. Thus, accordingly, patients with DD should receive counseling prior to undergoing surgery.