Complications, Complication Rates, And 90 Day Readmission Rates For Patients With Operative Isolated Sacral Fractures

2713 WordsMay 19, 201511 Pages
Abstract With the recent focus on dramatic cuts and escalating healthcare costs in the United States, a new center of attention has been placed upon postoperative readmission and reimbursement. Although sacral fractures constitute a large component of all pelvic fractures, there is relatively little data investigating differences in the postoperative length of stay (LOS), the complication rates, and the 90-day readmissions for these patients. The purpose of this paper was to investigate differences in postoperative length of stay, complication rates, and 90-day readmission rates for patients with operative isolated sacral fractures. All patients who presented to a large tertiary care center with isolated sacral fractures in an 11 year period were included in a retrospective chart review. 94 patients who underwent open reduction and internal fixation (ORIF) or percutaneous fixation of sacral injuries (perc) were identified. Gender, height, weight, body mass index, complication rates, readmissions, American Society of Anesthesiologists (ASA) classifications were gathered and compared with length of stay (LOS) and direct daily inpatient hospital costs. The average length of stay was 9.09 for ORIF versus 6.05 for percutaneous fixation (p=0.045). The average inpatient cost for ORIF was $45,300 compared to $31,710. ORIF had a higher complication rate (19.4%) compared to percutaneous fixation (6.3%). There were no significant differences in the number of clinic or ER visits, and

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