Effects of Amputation Level on Hospital Costs and Length of Hospital Stay in Diabetic Foot Disease
Öz
Aim: Diabetic foot disease (DFD) is a serious complication of diabetes mellitus and also represents a considerable financial burden to society. In this study, we aimed to evaluate the effects of amputation level on hospital costs and length of hospital stay in patients with DFD who were treated with major amputations.
Materials and Methods: Data of 72 patients who were hospitalized and underwent major amputations after a DFD diagnosis at our hospital between 2010 and 2017 were reviewed retrospectively. According to the level of amputation performed, three patient groups were identified: below-knee amputation (BKA) group, above-knee amputation (AKA) group, and two-stage (first BKA and then AKA) amputation (TSA) group. Data on hospital costs and length of hospital stay were reviewed. Hospital costs were evaluated under four categories: drug costs, resource/material costs, examination/treatment costs, and total costs.
Results were compared with Kruskal–Wallis one-way analysis of variance. Results: The BKA, AKA, and TSA groups consisted of 50 (25 males, 25 females), 11 (10, 1), and 11 (9, 2) patients, with a median patient age of 66, 64, and 66 years, respectively. For the BKA, AKA, and TSA groups, the median drug cost was $1,058, $1,072, and $2,240, the median resource/material cost was $223, $405, and $1,349, the median examination/treatment cost was $2,628, $2,405, and $3,587, the median total cost was $4,612, $5,832, and $6,848, and the median length of hospital stay was 35 days, 33 days, and 63 days, respectively. In terms of all cost categories and length of hospital stay, no statistically significant difference was found between the three groups (p>0.05).
Discussion and Conclusion: In DFD patients treated with major amputations, amputation level does not appear to make a significant difference in the amount of hospital costs and length of hospital stay.
Anahtar Kelimeler
Amputation, Diabetes mellitus, Diabetic foot disease, diabetic foot ulcer
Kaynakça
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