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Geriatrics 2018, 3(1), 7; https://doi.org/10.3390/geriatrics3010007

Estimate of the Costs Caused by Adverse Effects in Hospitalised Patients Due to Hip Fracture: Design of the Study and Preliminary Results

1
Department of Quality Management, IV Hospital Universitario de la Ribera, 46600 Alzira, Valencia, Spain
2
Department of Geriatrics, Hospital Universitario de la Ribera, 46600 Alzira, Valencia, Spain
3
Departamento de Salud de Denia, Atencion Primaria, 03700 Denia, Spain
4
Facultad de Medicina, Universidad Catolica de Valencia San Vicente Martir, 46001 Valencia, Spain
5
C/Baixada Magraners 33, Carcaixent, 46740 Valencia, Spain
*
Author to whom correspondence should be addressed.
Received: 28 November 2017 / Revised: 8 February 2018 / Accepted: 9 February 2018 / Published: 15 February 2018
(This article belongs to the Section Basic Science)
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Abstract

Introduction: Hip fracture is a health problem that presents high morbidity and mortality, negatively influencing the patient’s quality of life and generating high costs. Structured analysis of quality indicators can facilitate decision-making, cost minimization, and improvement of the quality of care. Methods: We studied 1571 patients aged 70 years and over with the diagnosis of hip fracture at Hospital Universitario de la Ribera in the period between 1 January 2012 and 31 December 2016. Demographic, clinical, functional, and quality indicator variables were studied. An indirect analysis of the costs associated with adverse events arising during hospital admission was made. A tool based on the “Minimum Basic Data Set (CMBD)” was designed to monitor the influence of patient risk factors on the incidence of adverse effects (AE) and their associated costs. Results: The average age of the patients analysed was 84.15 years (SD 6.28), with a length of stay of 8.01 days (SD 3.32), a mean preoperative stay of 43.04 h (SD 30.81), and a mortality rate of 4.2%. Likewise, the percentage of patients with AE was 41.44%, and 11.01% of patients changed their cost as a consequence of these AEs suffered during hospital admission. The average cost of patients was €8752 (SD: 1,864) and the average cost increase in patients with adverse events was €2321 (SD: 3,164). Conclusions: Through the analysis of the main clinical characteristics and the indirect estimation of the complexity of the patients, a simple calculation of the average cost of the attention and its adverse events can be designed in patients who are admitted due to hip fracture. Additionally, this tool can fit the welfare quality indicators by severity and cost. View Full-Text
Keywords: hip fracture; CMBD; DRG; health costs; adverse effects; risk factors; personal history; health quality; patient safety hip fracture; CMBD; DRG; health costs; adverse effects; risk factors; personal history; health quality; patient safety
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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Cuesta-Peredo, D.; Tarazona-Santabalbina, F.J.; Borras-Mañez, C.; Belenguer-Varea, A.; Avellana-Zaragoza, J.A.; Arteaga-Moreno, F. Estimate of the Costs Caused by Adverse Effects in Hospitalised Patients Due to Hip Fracture: Design of the Study and Preliminary Results. Geriatrics 2018, 3, 7.

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