Limits...
Geriatric Hip Fractures and Inpatient Services: Predicting Hospital Charges Using the ASA Score.

Thakore RV, Lee YM, Sathiyakumar V, Obremskey WT, Sethi MK - Curr Gerontol Geriatr Res (2014)

Bottom Line: Inpatient and postoperative charges and services were significantly associated with patients' ASA scores.Conclusions.A patient's ASA score is associated with total and specific hospital charges related to inpatient services.

View Article: PubMed Central - PubMed

Affiliation: The Vanderbilt Orthopaedic Institute Center for Health Policy, Vanderbilt University, Suite 4200, South Tower, MCE, Nashville, TN 37221, USA.

ABSTRACT
Purpose. To determine if the American Society of Anesthesiologist (ASA) score can be used to predict hospital charges for inpatient services. Materials and Methods. A retrospective chart review was conducted at a level I trauma center on 547 patients over the age of 60 who presented with a hip fracture and required operative fixation. Hospital charges associated with inpatient and postoperative services were organized within six categories of care. Analysis of variance and a linear regression model were performed to compare preoperative ASA scores with charges and inpatient services. Results. Inpatient and postoperative charges and services were significantly associated with patients' ASA scores. Patients with an ASA score of 4 had the highest average inpatient charges of services of $15,555, compared to $10,923 for patients with an ASA score of 2. Patients with an ASA score of 4 had an average of 45.3 hospital services compared to 24.1 for patients with a score of 2. Conclusions. A patient's ASA score is associated with total and specific hospital charges related to inpatient services. The findings of this study will allow payers to identify the major cost drivers for inpatient services based on a hip fracture patient's preoperative physical status.

No MeSH data available.


Related in: MedlinePlus

The average charge per patient within six categories of service based on patients' ASA scores. Total average charges are also presented.
© Copyright Policy - open-access
Related In: Results  -  Collection


getmorefigures.php?uid=PMC4022118&req=5

fig1: The average charge per patient within six categories of service based on patients' ASA scores. Total average charges are also presented.

Mentions: Figure 1 shows the average charge within six categories of service in relation to patients' assigned ASA scores. Average charges ranged from $10,923 to $15,555, with surgery comprising the highest proportion of charges for all three ASA classifications. Patients with an ASA score of 4 had the highest average inpatient charges ($15,555), followed by patients with a score of 3 ($12,180). Linear regression models controlled for age, gender, and 17 comorbidities showed that, for every increase in ASA score, there were statistically significant increases in charges for evaluation and management ($799.40, 95% CI $565.70–1033.10 P < 0.001), surgery ($1362.30, 95% CI $326.0–$2398.60, P = 0.010), radiology ($199.30, 95% CI $70.60–$331.04, P = 0.003), and medicine ($389.70, 95% CI $273.80–505.60, P < 0.001). There was also an increase in total charges by ASA score ($2751.30, 95% CI $1438.60–$4064.10, P < 0.001).


Geriatric Hip Fractures and Inpatient Services: Predicting Hospital Charges Using the ASA Score.

Thakore RV, Lee YM, Sathiyakumar V, Obremskey WT, Sethi MK - Curr Gerontol Geriatr Res (2014)

The average charge per patient within six categories of service based on patients' ASA scores. Total average charges are also presented.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4022118&req=5

fig1: The average charge per patient within six categories of service based on patients' ASA scores. Total average charges are also presented.
Mentions: Figure 1 shows the average charge within six categories of service in relation to patients' assigned ASA scores. Average charges ranged from $10,923 to $15,555, with surgery comprising the highest proportion of charges for all three ASA classifications. Patients with an ASA score of 4 had the highest average inpatient charges ($15,555), followed by patients with a score of 3 ($12,180). Linear regression models controlled for age, gender, and 17 comorbidities showed that, for every increase in ASA score, there were statistically significant increases in charges for evaluation and management ($799.40, 95% CI $565.70–1033.10 P < 0.001), surgery ($1362.30, 95% CI $326.0–$2398.60, P = 0.010), radiology ($199.30, 95% CI $70.60–$331.04, P = 0.003), and medicine ($389.70, 95% CI $273.80–505.60, P < 0.001). There was also an increase in total charges by ASA score ($2751.30, 95% CI $1438.60–$4064.10, P < 0.001).

Bottom Line: Inpatient and postoperative charges and services were significantly associated with patients' ASA scores.Conclusions.A patient's ASA score is associated with total and specific hospital charges related to inpatient services.

View Article: PubMed Central - PubMed

Affiliation: The Vanderbilt Orthopaedic Institute Center for Health Policy, Vanderbilt University, Suite 4200, South Tower, MCE, Nashville, TN 37221, USA.

ABSTRACT
Purpose. To determine if the American Society of Anesthesiologist (ASA) score can be used to predict hospital charges for inpatient services. Materials and Methods. A retrospective chart review was conducted at a level I trauma center on 547 patients over the age of 60 who presented with a hip fracture and required operative fixation. Hospital charges associated with inpatient and postoperative services were organized within six categories of care. Analysis of variance and a linear regression model were performed to compare preoperative ASA scores with charges and inpatient services. Results. Inpatient and postoperative charges and services were significantly associated with patients' ASA scores. Patients with an ASA score of 4 had the highest average inpatient charges of services of $15,555, compared to $10,923 for patients with an ASA score of 2. Patients with an ASA score of 4 had an average of 45.3 hospital services compared to 24.1 for patients with a score of 2. Conclusions. A patient's ASA score is associated with total and specific hospital charges related to inpatient services. The findings of this study will allow payers to identify the major cost drivers for inpatient services based on a hip fracture patient's preoperative physical status.

No MeSH data available.


Related in: MedlinePlus