Social profile and cost analysis of deep infection following total hip replacement surgery

Abstract

ObjectiveTo characterize the socio-economic and demographic profile of patients undergoing surgery for revision total hip arthroplasty regarding the diagnosis of deep prosthetic infection.MethodsTwenty patients were retrospectively studied, admitted in the period between 2009 and 2010 by the Hip Surgery Group with the diagnosis of deep prosthetic infection, whose proposed treatment was surgical. This study was carried out in the presence of the patient by completing two forms applied by the social worker of the Group.ResultsIn a 20-patient sample, 40% were male, 45% were working age, 50% of patients originated from the capital, 85% depended on benefits, 70% were retired, 60% of patients were from this hospital, and 40% were from other services. The average cost of patients to the public system was R$ 55,821.62 per patient and the total spent on treatment of patients in the study exceeded one million Brazilian reals, totalling R$ 1,116,432.40.ConclusionInfection from total hip arthroplasty generates a major expense to the social security system and to the public healthcare system. Physicians must always be alert to the possible risk factors and perioperative care, striving to minimize this complication.

Infecção após artroplastia total primária de joelho: estudo randomizado prospectivo controlado da adição de antibiótico ao cimento ósseo

“…Another study estimated the cost of treating hip arthroplasty infection at BRL 55,821.62 (∼ US$ 14,561) per patient. 6 …”

“…5 O custo do tratamento de uma infecção periprotética no sistema público brasileiro é estimado em $ 55 mil reais ($ 14 mil dólares). 6 Como medida de prevenção da infecção na ATJ, a Academia Americana de Cirurgiões Ortopédicos (AAOS, na sigla em inglês) recomenda a profilaxia antimicrobiana sistêmica uma hora antes da incisão cirúrgica. No entanto, o fármaco não alcança prontamente a interface implante-tecido.…”

“… 5 The cost of treating a periprosthetic infection in the Brazilian public system is estimated at ∼ BRL 55,000 (∼ US$ 14,000). 6 …”

Incisional Negative-Pressure Wound Therapy in Revision Total Hip Arthroplasty Due to Infection

“…Frazão et al reported a significant increase in costs for the treatment of hip arthroplasty infections in a tertiary hospital as compared with cases without infection. 3 Thus, any economy with safety for the patient may be important for the health system.…”

“…Normally, the treatment is lengthy and involves decline of quality of life and function of the patients, and it is associated with high costs to health services. 3 …”