%0 Journal Article
%T A 10
%A I. Nurmi-L¨¹thje
%A J.-P. Kaukonen
%A P. L¨¹thje
%A R. Alaranta
%A R. Tiihonen
%A T. Helkamaa
%J Scandinavian Journal of Surgery
%@ 1799-7267
%D 2019
%R 10.1177/1457496918798197
%X Reoperations after operative treatment of hip fracture patients may be associated with higher costs and inferior survival. We examined the acute hospital costs, long-term reoperation rates, and survival of patients with a new hip fracture. A total of 490 consecutive new hip fracture patients treated at a single center between 31 December 2004 and 6 December 2006 were analyzed retrospectively. Fractures were classified according to Garden and AO. All medical records were checked manually. The costs of reoperations were calculated using the diagnosis-related groups (DRG)-based prices. Survival analysis was performed using the life-table method. The follow-up time was 10£¿years. In all, 70/490 patients (14.3%) needed reoperations. Of all reoperations, 34.2% were performed during the first month and 72.9% within 1£¿year after the primary operation. The hemiarthroplasty dislocation rate was 8.5%, and mechanical failures of osteosynthesis occurred in 6.2%. Alcohol abuse was associated with a heightened risk of reoperation. The mean direct costs of primary fracture care were lower than the mean costs of reoperations (?7500 vs ?9800). The mortality rate at 10£¿years was 79.8% among non-reoperated patients and 62.9% among reoperated patients. According to our hypothesis, the cost per patient of reoperation in acute care was 31% higher than the corresponding cost of a primary operation. Reoperations increased the overall immediate costs of index fractures by nearly 20%. One-third of all reoperations were performed during the first month and almost 75% within 1£¿year after the primary operation
%K Hip fracture
%K complication
%K reoperation
%K costs
%K survival
%U https://journals.sagepub.com/doi/full/10.1177/1457496918798197