文章基本信息

标题：Geriatric Hip Fractures and Inpatient Services: Predicting Hospital Charges Using the ASA Score
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作者：Rachel V. Thakore ; Young M. Lee ; Vasanth Sathiyakumar 等
期刊名称：Current Gerontology and Geriatrics Research
印刷版ISSN：1687-7063
电子版ISSN：1687-7071
出版年度：2014
卷号：2014
DOI：10.1155/2014/923717
出版社：Hindawi Publishing Corporation
摘要：Purpose. To determine if the American Society of Anesthesiologist (ASA) score can be used to predict hospital charges for inpatient services. Materials and Methods. A retrospective chart review was conducted at a level I trauma center on 547 patients over the age of 60 who presented with a hip fracture and required operative fixation. Hospital charges associated with inpatient and postoperative services were organized within six categories of care. Analysis of variance and a linear regression model were performed to compare preoperative ASA scores with charges and inpatient services. Results. Inpatient and postoperative charges and services were significantly associated with patients’ ASA scores. Patients with an ASA score of 4 had the highest average inpatient charges of services of $15,555, compared to $10,923 for patients with an ASA score of 2. Patients with an ASA score of 4 had an average of 45.3 hospital services compared to 24.1 for patients with a score of 2. Conclusions. A patient’s ASA score is associated with total and specific hospital charges related to inpatient services. The findings of this study will allow payers to identify the major cost drivers for inpatient services based on a hip fracture patient’s preoperative physical status.