Acute hospital-community hospital care bundle for elderly orthopedic surgery patients: A propensity score-matched economic analysis

doi:10.5312/wjo.v14.i4.231

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World Journal of Orthopedics

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2218-5836

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Orthop. Apr 18, 2023; 14(4): 231-239
Published online Apr 18, 2023. doi: 10.5312/wjo.v14.i4.231

Table 2 Comparison of inpatient hospitalization costs between elderly patients receiving elective orthopedic surgery before and after the care bundle intervention

AH hospitalization cost (S$)	Before care bundle period (n = 431)	After care bundle period (n = 431)	% Difference	P value
Total inpatient cost per case	28772.8 (28581.6)	24497.3 (15281.8)	14.9% decrease	< 0.001
Cost breakdown
Surgery procedure	4861.8 (2076.2)	4594.6 (1847.1)	5.5% decrease	0.561
Ward accommodation	8748.8 (15164.3)	5924.4 (6277.9)	32.3% decrease	< 0.001
Daily medical treatment	3980.9 (4875.8)	2932.4 (2371.8)	26.3% decrease	< 0.001
Nursing	1574.3 (1715.5)	1379.9 (959.5)	12.4% decrease	0.040
Investigation	2173.2 (2086.3)	1847.1 (1828.1)	15.0% decrease	0.003
Rehabilitation	905.0 (1474.5)	634.0 (490.7)	29.9% decrease	< 0.001
Pharmacy	479.6 (1149.3)	414.8 (988.2)	13.5% decrease	0.369
Consumables	2231.4 (1883.8)	2412.2 (1631.4)	8.1% increase	0.132

Cost data were presented as mean ± SD in 2021 Singapore dollars (S$), adjusted for inflation. 1 Singapore dollar (S$) = 0.722 United States dollar (US$).

Citation: Tan IEH, Chok AY, Zhao Y, Chen Y, Koo CH, Aw J, Soh MHT, Foo CH, Ang KA, Tan EJKW, Tan AHC, Au MKH. Acute hospital-community hospital care bundle for elderly orthopedic surgery patients: A propensity score-matched economic analysis. World J Orthop 2023; 14(4): 231-239
URL: https://www.wjgnet.com/2218-5836/full/v14/i4/231.htm
DOI: https://dx.doi.org/10.5312/wjo.v14.i4.231