Open AccessLevel II trauma centers have highest charges for hip fractures
Author(s) -
Joshua E. Simson,
Eduardo Vázquez,
John C. Dunn,
James H Nelson
Publication year - 2022
Publication title -
journal of orthopaedic business
Language(s) - English
Resource type - Journals
ISSN - 2771-3040
DOI - 10.55576/job.v2i1.5
Subject(s) - hip fracture , medicine , intramedullary rod , implant , physical therapy , surgery , osteoporosis
Objectives: To evaluate the charges for pertrochanteric hip fracture care in Texas.Design: Database review.Setting: Texas Hospital Inpatient Public Use Data File (PUDF)Intervention: Charges reported by hospitals to the Texas Department of State Health Services for pertrochanteric hip fractures.Main outcome measurement: Charges associated with pertrochanteric hip fracture stratified by implant type and according to facility trauma level designation, urban versus rural, teaching versus non-teaching, and border versus inland status.Results and conclusions: There were a total of 44,853 pertrochanteric hip fracture surgeries performed over the three-year period in the state of Texas. The vast majority were treated at urban (93.4%), inland (non-border) (92.3%), non-teaching (74.2%) facilities with intramedullary fixation (56.9%). A significant increase in charges was associated with treatment at an urban ($32,412), border ($44,919), or teaching ($10,501) facility. Mean inpatient charges at Level II facilities was $113,700. Further study is warranted to determine what drives the differences in charges associated with hip fracture treatment.Level of Evidence: IV; Economic Database AnalysisKeywords: hip fracture, access to care, charge analysis, value-based care, Texas. (J Ortho Business 2022; 1:4-6)