The Increased Total Cost Associated With Post-Operative Drains in Total Hip and Knee Arthroplasty

被引：40

作者：

Bjerke-Kroll, Benjamin T. ^{[1
]}

Sculco, Peter K. ^{[1
]}

McLawhorn, Alexander S. ^{[1
]}

Christ, Alexander B. ^{[1
]}

Gladnick, Brian P. ^{[1
]}

Mayman, David J. ^{[1
]}

机构：

[1] Hosp Special Surg, New York, NY 10021 USA

来源：

JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 05期

关键词：

cost-effectiveness; arthroplasty; post-operative suction device; blood loss; transfusion; length of stay; CLOSED-SUCTION DRAINAGE; BLOOD-TRANSFUSION; UNITED-STATES; REPLACEMENT; OSTEOARTHRITIS; SURGERY; SALVAGE; HEALTH;

D O I：

10.1016/j.arth.2013.10.027

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

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. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：895 / 899

页数：5

共 30 条

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