Health Care Usage and Related Costs in Fibular Plating for AO Type 44-B Ankle Fractures in a Belgian University Hospital: An Exploratory Analysis

Smeets, Bart; Nijs, Stefaan; Nderlita, Meri; Vandoren, Cindy; Hoekstra, Harm

doi:10.1053/j.jfas.2016.02.004

Cited by 25 publications

(23 citation statements)

References 12 publications

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“…Previous analysis demonstrated that demographic characteristics and procedures may affect the coats and LOS of ankle fracture patients, which has important clinical and economic implications, providing a target for improving patient outcomes [26,27]. Signi cant different outcomes were veri ed (p<0.05) including costs and LOS are associated with ERAS in both univariate analysis and multiple linear regression analysis, which are in line with previous study and con rm the advantages of the ERAS.…”

Section: Discussionsupporting

confidence: 83%

Effect of enhanced recovery after surgery in the managements of ankle fracture patients: a single-center retrospective cohort study

Yao

Liu

et al. 2020

Preprint

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Background Ankle fracture is common and the treatment is embarrassed. Enhanced Recovery After Surgery (ERAS) has been successfully adopted for the improvement of efficacy and quality. However, application of ERAS in ankle fracture patients especially at the early stage is variable and remains to be clarified. We intent to explore the effect of ERAS among ankle fracture patients. Methods There were 29 male and 51 female patients aged 41.71 ± 14. 51 years who were consecutively grouped into non-ERAS group (n = 40) and ERAS group (n = 40). Univariate analysis and multiple linear regression analysis were applied to assess the association in outcomes and variables. Results AOFAS at post-operative 3 month (PO3M) and post-operative 6 month (PO6M), costs, length of stay (LOS), and pre-operative LOS were verified significantly in univariate analysis. Multiple linear regression analysis revealed that ERAS can improve American Orthopaedic Foot and Ankle Society (AOFAS) at PO3M (β = 7.06, 95% CI, 4.45–9.65) and PO6M (β = 5.08, 95% CI, 2.35–7.80), reduce costs (β = -6885.13, 95% CI, -12089.40 - -1680.85) and LOS (β = -3.27, 95% CI, -4.97 - -1.57) among ankle fracture patients. With the numbers available, no significant differences were observed (p༞0.05) for the AOFAS at post-operative 12 month (PO12M) and post-operative 24 month (PO24M), complications, or opioids consumption. Conclusion We found ERAS is superior to general protocol among proper ankle fracture patients, which can enhance rehabilitation especially at the early stage and improve medical quality and efficiency by reducing costs and LOS. ERAS protocol may have a promising future and worth promoting.

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Section: Discussionsupporting

confidence: 83%

Effect of enhanced recovery after surgery in the managements of ankle fracture patients: a single-center retrospective cohort study

Yao

Liu

et al. 2020

Preprint

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“…However, Smeets et al found that the costs of surgical treatment of the fractured ankle are double if the patient is over 65 years, compared to younger patients. This was mainly due to a longer total and preoperative stay in the hospital [20]. …”

Section: Introductionmentioning

confidence: 99%

Management of Osteoporotic and Neuropathic Ankle Fractures in the Elderly

2017

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Purpose of ReviewTreatment of osteoporotic and neuropathic ankle fractures in the elderly is challenging. The purpose of this paper is to review recent publications on this topic and to identify the optimal treatment for these fractures.Recent FindingsTreatment consists of a variety of conservative or operative options all with advantages and disadvantages as described in this review. Little research has been published that specifically focuses on elderly patients with ankle fractures. Operative treatment has a high complication rate. Multiple comorbidities are predictors for complications.SummaryAn optimal treatment could not be distilled but based on the available literature, a general treatment algorithm is proposed. Since the elderly typically are accompanied by multiple comorbidities as well as impaired mobility, the physician should focus not only on treating the fractured ankle but also on the patient as a whole. Further research on this specific topic is needed.

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Section: Discussionmentioning

confidence: 99%

Effect of enhanced recovery after surgery in the managements of ankle fracture patients: A single-center retrospective cohort study

Yao

Liu

et al. 2021

Preprint

View full text Add to dashboard Cite

Background Ankle fracture is common and the treatment is embarrassed. Enhanced Recovery After Surgery (ERAS) has been successfully adopted for the improvement of efficacy and quality. However, application of ERAS in ankle fracture patients especially at the early stage is variable and remains to be clarified. We intent to explore the effect of ERAS among ankle fracture patients. Methods There were 29 male and 51 female patients aged 41.71 ± 14. 51 years who were consecutively grouped into non-ERAS group (n = 40) and ERAS group (n = 40). Univariate analysis and multiple linear regression analysis were applied to assess the association in outcomes and variables. Results AOFAS at post-operative 3 month (PO3M) and PO6M, costs, LOS, and pre-operative LOS were verified significantly in univariate analysis. Multiple linear regression analysis revealed that ERAS can improve AOFAS at PO3M (β = 7.06, 95% CI, 4.45–9.65) and PO6M (β = 5.08, 95% CI, 2.35–7.80), reduce costs (β = -6885.13, 95% CI, -12089.40 - -1680.85), and reduce LOS (β = -3.27, 95% CI, -4.97 - -1.57) among ankle fracture patients. With the numbers available, no significant differences were observed (p༞0.05) for the AOFAS at PO12M and PO24M, complications, or opioids consumption. Conclusion We found ERAS is superior to general protocol among proper ankle fracture patients, which can enhance rehabilitation and improve medical quality and efficiency especially at the early stage. ERAS protocol may have a promising future and worth promoting.

show abstract

Health Care Usage and Related Costs in Fibular Plating for AO Type 44-B Ankle Fractures in a Belgian University Hospital: An Exploratory Analysis

Cited by 25 publications

References 12 publications

Effect of enhanced recovery after surgery in the managements of ankle fracture patients: a single-center retrospective cohort study

Effect of enhanced recovery after surgery in the managements of ankle fracture patients: a single-center retrospective cohort study

Management of Osteoporotic and Neuropathic Ankle Fractures in the Elderly

Effect of enhanced recovery after surgery in the managements of ankle fracture patients: A single-center retrospective cohort study

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