The association between comorbidity and length of hospital stay and costs in total hip arthroplasty patients: a systematic review

被引：54

作者：

Olthof, Marijke ^{[1
]}

Stevens, Martin ^{[1
]}

Bulstra, Sjoerd K. ^{[1
]}

van den Akker-Scheek, Inge ^{[1
]}

机构：

[1] Univ Groningen, Univ Med Ctr Groningen, Dept Orthoped, NL-9713 AV Groningen, Netherlands

来源：

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

关键词：

comorbidity; total hip arthroplasty; complexity; ASA classification; length of stay; PHYSICAL STATUS CLASSIFICATION; BODY-MASS INDEX; JOINT REPLACEMENT; CO-MORBIDITY; OF-STAY; OUTCOMES; OSTEOARTHRITIS; KNEE; DEMOGRAPHICS; ILLNESS;

D O I：

10.1016/j.arth.2013.10.008

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：

We performed a systematic review on the relationship between comorbidity and length of hospital stay (LOS) and hospital costs (HC). Electronic databases were systematically searched for relevant studies, conducting methodological quality assessment and best-evidence synthesis: 317 articles were identified, 10 of which fit the inclusion criteria; nine studies determined the relationship between comorbidity and LOS, with eight reporting a positive correlation; five studies were considered to be of high quality, four of which found a positive correlation; two studies analyzed the relationship between comorbidity and HC and reported significantly higher HC for patients with comorbidities, and were considered to be of high quality. In conclusion, there is limited evidence that patient comorbidity has a positive correlation with LOS and HC. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：1009 / 1014

页数：6

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