髖部骨折病人接受急性後期住院復健計畫之成本效果分析

目的：評估因髖部骨折術後而加入急性後期住院復健計畫之患者的生活功能進步幅度與成本效果分析。方法：因股骨頸骨折或是轉子間骨折前來參與急性後期住院復健計畫的483 位患者。以巴氏量表分數為指標進行分析。結果：髖部骨折的患者，接受為期兩週的急性後期住院復健計劃之費用為30,884.4 元，平均可使患者的巴氏量表分數進步25.24 分，顯著減少患者功能上的依賴。因股骨頸骨折接受半關節置換術患者，巴氏量表分數進步顯著高於因轉子間骨折接受開放性復位內固定術患者。另外，接受半關節置換術平均花費顯著少於接受開放性復位內固定術患者。結論：在接受急性後期住院復健計畫的患者中以男性、股骨頸骨折者、接受半關節置換術者、初始功能重度缺乏者，接受復健的成本效果最高。

關鍵字

成本效果分析；髖部骨折；病房成本；急性後期住院復健計畫；中期照護

並列摘要

Objectives: Hip fracture has a great impact on comorbidity, mortality and financial burden. Our aim was to analysis the cost effectiveness of a 2-week post-acute inpatient rehabilitation program for hip fracture patients. Methods: A total of 483 patients were enrolled in our post-acute rehabilitation inpatient program from 2011 to 2013. All patients received an intense rehabilitation for 2 weeks and were evaluated with the Barthel Index upon admission and discharge. Fracture type, operation method and initial Barthel Index were analyzed. Results: The average medical cost for joining the post-acute rehabilitation was 30,884.4 NTD. The average Barthel Index improvement point was 25.24. The average cost for open reduction and internal fixation and intertrochanteric fracture was significantly higher than hemiarthroplasty and femoral neck fracture. Conclusion: The 2-week inpatient rehabilitation was most cost-effective in patients who were male and with femoral neck fracture, hemiarthroplasty or severe initial function deficiency (Barthel Index ranged from 20-39 points).

並列關鍵字

Cost-effectiveness analysis ； Hip fracture ； Total medical cost ； Post-acute Rehabilitation ； Barthel Index

國際替代計量

髖部骨折病人接受急性後期住院復健計畫之成本效果分析

全文下載

主題瀏覽