Vergleich der DRG-Erlöse zwischen Fast- und Slow-Track-Verfahren beim zweizeitigen Prothesenwechsel bei periprothetischen Hüftinfektionen im aG-DRG-System 2020

Comparison of DRG revenues between fast and slow-track procedures for a two-stage replacement of prostheses for periprosthetic hip infections in the aG-DRG system 2020

URN zum Zitieren dieses Dokuments:

urn:nbn:de:bvb:355-epub-455851 Copy

DOI zum Zitieren dieses Dokuments:

10.5283/epub.45585 Copy

Hierl, Katja ; Rupp, Markus ; Worlicek, Michael ; Baumann, Florian ; Pfeifer, Christian ; Alt, Volker

Vorschau

Lizenz: Creative Commons Namensnennung 4.0 International PDF - Veröffentlichte Version (396kB)

Veröffentlichungsdatum dieses Volltextes: 28 Apr 2021 05:08

---

Alternative Links zum Volltext:DOIVerlag

---

Diese Publikation ist Teil des DEAL-Vertrags mit Springer.

---

Details

Dokumentenart:	Artikel
Open Access Art:	DEAL (Springer)
Titel eines Journals oder einer Zeitschrift:	Der Orthopäde
Verlag:	Springer
Ort der Veröffentlichung:	NEW YORK
Band:	50
Seitenbereich:	S. 728-741
Datum:	21 April 2021
Institutionen:	Medizin > Lehrstuhl für Unfallchirurgie
Identifikationsnummer:	Wert Typ 10.1007/s00132-021-04106-8 DOI
Stichwörter / Keywords:	; Diagnosis Related Group; Hospitals; Length of stay; Revision surgery; Staphylococcal infections
Dewey-Dezimal-Klassifikation:	600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
Status:	Veröffentlicht
Begutachtet:	Ja, diese Version wurde begutachtet
An der Universität Regensburg entstanden:	Ja
Dokumenten-ID:	45585

Vorschau

Indiziert in

Web of Science

Bibliographische Daten exportieren

ASCII CitationAtomBibTeXData Cite XMLDataCite XML OAIDublin CoreDublin Core (LZV)EndNoteHTML CitationJSONJSON LDMETSMODSOPENAIREOpenAPCRDF+N-TriplesRDF+N3RDF+XMLReferReference ManagerSimple MetadataXMLopenCostxMetaDissPlus

---

Zusammenfassung

Background The treatment of periprosthetic hip infections is usually cost intensive, so it is generally not cost effective for hospitals. In chronic infections, a two-stage procedure is often indicated, which can be done as a fast-track procedure with a short prosthetic-free interim interval (2-4 weeks) or as a slow-track procedure with a long prosthetic-free interim interval (over 4 weeks). Aim ...

Zusammenfassung

Background The treatment of periprosthetic hip infections is usually cost intensive, so it is generally not cost effective for hospitals. In chronic infections, a two-stage procedure is often indicated, which can be done as a fast-track procedure with a short prosthetic-free interim interval (2-4 weeks) or as a slow-track procedure with a long prosthetic-free interim interval (over 4 weeks). Aim The aim of this study was to elucidate the revenue situation of both forms of treatment in the aG-DRG-System 2020, taking into account revenue-relevant influencing factors. Methods For fast-track and slow-track procedures with two-stage revision and detection of a staphylococcus aureus (MSSA), treatment cases were simulated using a grouper software (3M KODIP Suite) based on the diagnoses (ICD-10-GM) and procedures (OPS) and then grouped into DRGs. Revenue-relevant parameters, such as length of stay and secondary diagnoses (SD), were taken into account. In addition, two real treatment cases with fast-track and slow-track procedures were compared to each other. Results The total revenues for the slow-track procedure with a length of stay of 25 days (without SD) were 27,551 euro and for a length of stay of 42 days (with SD) even 40,699 euro, compared to 23,965 euro with the fast-track procedure with a length of stay of 25 days (without SD) and 27,283 euro for a length of stay of 42 days (with SD). The real treatment cases also showed a big difference in the total revenues of 12,244 euro in favor of the slow-track procedure. Discussion Even in the aG-DRG-System 2020, the two-stage revision procedure with a long interim interval seems to be more interesting from a financial point of view and the hospital perspective compared to the fast-track procedure, especially with multimorbid patients. This creates a financial barrier to the treatment of such patients with a short interim interval.

---

---

Metadaten zuletzt geändert: 10 Aug 2022 07:50

Nur für Besitzer und Autoren: Kontrollseite des Eintrags

Downloadstatistik

Downloadstatistik

Downloadstatistik

Downloadstatistik

Downloads

Downloads im Monat während des letzten Jahres

Altmetric

Altmetric

Altmetric

Alternative Statistik (altmetrics)

Weitere Literatur (mittels CORE)

Weitere Literatur (mittels CORE)

Weitere Literatur (mittels CORE)

Weitere Literatur (mittels CORE)