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The incremental cost of inpatient venous thromboembolism after hip fracture surgery

Journal of Orthopaedic Trauma Mar 30, 2020

Trivedi NN, Abola MV, Kim CY, et al. - Researchers determined trends in the rates of deep venous thrombosis (DVT) and pulmonary embolism (PE) and estimated additional incremental inpatient cost and length of stay associated with venous thromboembolism (VTE) after hip fracture surgery. This retrospective database analysis included a sum of 838,054 patients undergoing operative treatment of hip fractures in the National Inpatient Sample from 2003 to 2014. They compared length of stay and cost of hospitalization between patients with VTE and those without applying a Student t-test. A logistic regression model was carried out to analyze the trends in VTE rates, and a multivariable linear regression model was conducted to assess inpatient hospital costs. After hip fracture, each episode of VTE is a significant source of additional inpatient cost. It was noted that patients who sustain a VTE have approximately twice the length of stay and total inpatient cost in comparison with those who do not. The rates of DVT after hip fracture surgery are reducing, whereas the rates of PE are raising.

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