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January 24, 2020Journal of Orthopaedic Trauma

The Incremental Cost of Inpatient Venous Thromboembolism After Hip Fracture Surgery

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Key result

Venous thromboembolism after hip fracture surgery was associated with an increased length of stay (9 vs. 5 days) and increased inpatient cost ($103,860.83 vs. $51,576.00).

Why the study?

Trends in DVT and PE rates and the incremental inpatient cost and length of stay associated with VTE after hip fracture surgery needed evaluation.

Does venous thromboembolism increase inpatient cost and length of stay in patients undergoing operative treatment of hip fractures?

Population

838,054 patients undergoing operative treatment of hip fractures in the National Inpatient Sample

Comparison

Patients with VTE vs those without

Design

Retrospective database analysis

Authors

NTNikunj N. TrivediStanford MedicineMAMatthew V. AbolaHospital for Special SurgeryCKChang Y. KimUniversity Hospitals of Cleveland

Discussion

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Implication

Low DVT rates in orthopedic trauma may support current prophylaxis; leaves open need for prospective trials on VTE prevention and costs.

Study Design

Type

Observational (n=838,054)

Multicenter

Yes

Structured PICO

Does venous thromboembolism increase inpatient cost and length of stay in patients undergoing operative treatment of hip fractures?

P
Population
838,054 patients undergoing operative treatment of hip fractures in the National Inpatient Sample from 2003 to 2014.
E
Exposure
Venous thromboembolism (VTE) after hip fracture surgery
C
Comparator
No venous thromboembolism (VTE) after hip fracture surgery
O
Outcome
Length of stay and cost of hospitalization

Main Result

Absolute Event Rate: 9% vs 5%

Venous thromboembolism after hip fracture surgery significantly increases inpatient length of stay and hospitalization costs.

Cite This Study

Trivedi et al. (2020) conducted an observational in Hip fracture (n=838,054). Venous thromboembolism (VTE) vs. No VTE was evaluated on Length of stay (days). Venous thromboembolism after hip fracture surgery was associated with an increased length of stay (9 vs. 5 days) and increased inpatient cost ($103,860.83 vs. $51,576.00).

synapsesocial.com/papers/6a3fcd33ef8b3439f071d99dhttps://doi.org/10.1097/bot.0000000000001675

Topics

Pulmonary embolism
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cost of venous thromboembolism following major orthopedic surgery in hospitalized patients2002 · 89 citations
  2. 2VENOUS THROMBOSIS IN PATIENTS WITH FRACTURE OF THE UPPER END OF THE FEMUR1970 · 96 citations
  3. 3Venous Thromboembolism Is Rare with a Multimodal Prophylaxis Protocol after Total Hip Arthroplasty2006 · 100 citations
  4. 4Controlled trial of low-dose heparin and sulfinpyrazone to prevent venous thromboembolism after operation on the hip.1978 · 57 citations
  5. 5Nationwide Inpatient Sample and National Surgical Quality Improvement Program Give Different Results in Hip Fracture Studies2014 · 198 citations