Comparison of thromboprophylaxis patterns in arthroplasty in public and private hospitals
Objective To compare therapy for prophylaxis of venous thromboembolism and costs related to hospitalization of patients undergoing total knee and hip replacement within the context of the Brazilian health system.Methods A retrospective study of patients undergoing arthroplasty in 2010 in a public ho...
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doaj-64cd9622c1614dc8b9e9d3966aec75fc2020-11-25T02:15:22ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)2317-638513341041610.1590/S1679-45082015GS3057S1679-45082015000300410Comparison of thromboprophylaxis patterns in arthroplasty in public and private hospitalsAline Pinheiro dos Santos CortadaTelma Gomes da SilvaAndré Campos da SilvaRicardo Prado GolmiaRenata Leborato GuerraMaíra Libertad Soligo TakemotoRoberta Dyonisio Canaveira MonteiroMorton Aaron ScheinbergObjective To compare therapy for prophylaxis of venous thromboembolism and costs related to hospitalization of patients undergoing total knee and hip replacement within the context of the Brazilian health system.Methods A retrospective study of patients undergoing arthroplasty in 2010 in a public hospital and two private hospitals in the state of São Paulo, conducted by means of medical record review. Costs were estimated based on the use of health care resources during hospitalization. A descriptive analysis was performed using frequency and mean (standard deviation) according to the type of care delivered (by public or private organization).Results A total of 215 patients were evaluated, and 56.3% were submitted to knee surgery and 43.7%, to hip replacement. Approximately 88% and 98% of patients from public and private health services, respectively, received some form of venous thromboembolism prophylaxis, and enoxaparin was the drug most widely used in both systems. The total cost of prophylaxis was R$ 1,873.01 (R$ 26.38 per patient) in the public service and R$ 21,559.73 (R$ 163.33 per patient) in the private service. For the individuals who presented with thromboembolism, the average cost of hospitalization was R$ 6,210.80 and R$ 43,792.59 per patient in public and private health services, respectively.Conclusion Thromboembolism prophylaxis in patients undergoing arthroplasty is most commonly used in the private health services than public organizations, despite its high costs in both services. The cost per patient with thrombosis during hospitalization was higher than the total cost of prophylaxis, suggesting that prevention is associated to better cost-benefit ratio.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082015000300410&lng=en&tlng=enTromboembolia venosa/terapiaArtroplastia do joelho/economiaArtroplastia de quadril/economiaSistema de saúde/economiaHospitais públicosHospitais privados |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Aline Pinheiro dos Santos Cortada Telma Gomes da Silva André Campos da Silva Ricardo Prado Golmia Renata Leborato Guerra Maíra Libertad Soligo Takemoto Roberta Dyonisio Canaveira Monteiro Morton Aaron Scheinberg |
spellingShingle |
Aline Pinheiro dos Santos Cortada Telma Gomes da Silva André Campos da Silva Ricardo Prado Golmia Renata Leborato Guerra Maíra Libertad Soligo Takemoto Roberta Dyonisio Canaveira Monteiro Morton Aaron Scheinberg Comparison of thromboprophylaxis patterns in arthroplasty in public and private hospitals Einstein (São Paulo) Tromboembolia venosa/terapia Artroplastia do joelho/economia Artroplastia de quadril/economia Sistema de saúde/economia Hospitais públicos Hospitais privados |
author_facet |
Aline Pinheiro dos Santos Cortada Telma Gomes da Silva André Campos da Silva Ricardo Prado Golmia Renata Leborato Guerra Maíra Libertad Soligo Takemoto Roberta Dyonisio Canaveira Monteiro Morton Aaron Scheinberg |
author_sort |
Aline Pinheiro dos Santos Cortada |
title |
Comparison of thromboprophylaxis patterns in arthroplasty in public and private hospitals |
title_short |
Comparison of thromboprophylaxis patterns in arthroplasty in public and private hospitals |
title_full |
Comparison of thromboprophylaxis patterns in arthroplasty in public and private hospitals |
title_fullStr |
Comparison of thromboprophylaxis patterns in arthroplasty in public and private hospitals |
title_full_unstemmed |
Comparison of thromboprophylaxis patterns in arthroplasty in public and private hospitals |
title_sort |
comparison of thromboprophylaxis patterns in arthroplasty in public and private hospitals |
publisher |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
series |
Einstein (São Paulo) |
issn |
2317-6385 |
description |
Objective To compare therapy for prophylaxis of venous thromboembolism and costs related to hospitalization of patients undergoing total knee and hip replacement within the context of the Brazilian health system.Methods A retrospective study of patients undergoing arthroplasty in 2010 in a public hospital and two private hospitals in the state of São Paulo, conducted by means of medical record review. Costs were estimated based on the use of health care resources during hospitalization. A descriptive analysis was performed using frequency and mean (standard deviation) according to the type of care delivered (by public or private organization).Results A total of 215 patients were evaluated, and 56.3% were submitted to knee surgery and 43.7%, to hip replacement. Approximately 88% and 98% of patients from public and private health services, respectively, received some form of venous thromboembolism prophylaxis, and enoxaparin was the drug most widely used in both systems. The total cost of prophylaxis was R$ 1,873.01 (R$ 26.38 per patient) in the public service and R$ 21,559.73 (R$ 163.33 per patient) in the private service. For the individuals who presented with thromboembolism, the average cost of hospitalization was R$ 6,210.80 and R$ 43,792.59 per patient in public and private health services, respectively.Conclusion Thromboembolism prophylaxis in patients undergoing arthroplasty is most commonly used in the private health services than public organizations, despite its high costs in both services. The cost per patient with thrombosis during hospitalization was higher than the total cost of prophylaxis, suggesting that prevention is associated to better cost-benefit ratio. |
topic |
Tromboembolia venosa/terapia Artroplastia do joelho/economia Artroplastia de quadril/economia Sistema de saúde/economia Hospitais públicos Hospitais privados |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082015000300410&lng=en&tlng=en |
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