{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T06:02:53Z","timestamp":1790834573445,"version":"4.1.0"},"reference-count":30,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2018,9,12]],"date-time":"2018-09-12T00:00:00Z","timestamp":1536710400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"The Competitive State Research Financing of the Expert Responsibility area of Tampere University Hospital and the P\u00e4ij\u00e4t-H\u00e4me Medical Society."}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scand J Surg"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>Reoperations after operative treatment of hip fracture patients may be associated with higher costs and inferior survival. We examined the acute hospital costs, long-term reoperation rates, and survival of patients with a new hip fracture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A total of 490 consecutive new hip fracture patients treated at a single center between 31 December 2004 and 6 December 2006 were analyzed retrospectively. Fractures were classified according to Garden and AO. All medical records were checked manually. The costs of reoperations were calculated using the diagnosis-related groups (DRG)-based prices. Survival analysis was performed using the life-table method. The follow-up time was 10\u2009years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In all, 70\/490 patients (14.3%) needed reoperations. Of all reoperations, 34.2% were performed during the first month and 72.9% within 1\u2009year after the primary operation. The hemiarthroplasty dislocation rate was 8.5%, and mechanical failures of osteosynthesis occurred in 6.2%. Alcohol abuse was associated with a heightened risk of reoperation. The mean direct costs of primary fracture care were lower than the mean costs of reoperations (\u20ac7500 vs \u20ac9800). The mortality rate at 10\u2009years was 79.8% among non-reoperated patients and 62.9% among reoperated patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>According to our hypothesis, the cost per patient of reoperation in acute care was 31% higher than the corresponding cost of a primary operation. Reoperations increased the overall immediate costs of index fractures by nearly 20%. One-third of all reoperations were performed during the first month and almost 75% within 1\u2009year after the primary operation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1457496918798197","type":"journal-article","created":{"date-parts":[[2018,9,12]],"date-time":"2018-09-12T07:39:39Z","timestamp":1536737979000},"page":"178-184","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":20,"title":["A 10-Year Retrospective Study of 490 Hip Fracture Patients: Reoperations, Direct Medical Costs, and Survival"],"prefix":"10.1177","volume":"108","author":[{"given":"R.","family":"Tiihonen","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Traumatology, P\u00e4ij\u00e4t-H\u00e4me Central Hospital, Lahti, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Alaranta","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, P\u00e4ij\u00e4t-H\u00e4me Central Hospital, Lahti, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Helkamaa","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.","family":"Nurmi-L\u00fcthje","sequence":"additional","affiliation":[{"name":"Department of Public Health, University of Helsinki, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.-P.","family":"Kaukonen","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, P\u00e4ij\u00e4t-H\u00e4me Central Hospital, Lahti, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"L\u00fcthje","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, North Kymi Hospital, Kouvola, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,9,12]]},"reference":[{"key":"bibr1-1457496918798197","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2012.04033.x"},{"key":"bibr2-1457496918798197","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afp221"},{"key":"bibr3-1457496918798197","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-012-1511-x"},{"key":"bibr4-1457496918798197","doi-asserted-by":"publisher","DOI":"10.1007\/s00113-013-2502-2"},{"key":"bibr5-1457496918798197","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-013-3020-9"},{"key":"bibr6-1457496918798197","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200309000-00004"},{"key":"bibr7-1457496918798197","doi-asserted-by":"publisher","DOI":"10.1177\/1457496913494726"},{"key":"bibr8-1457496918798197","unstructured":"National Institute for Health and Welfare (THL): PERFECT\u2014PERFormance, Effectiveness and Cost of Treatment episodes, https:\/\/www.thl.fi\/fi\/tutkimus-ja-asiantuntijatyo\/hankkeet-jaohjelmat\/perfect\/osahankkeet\/lonkkamurtuma\/perusraportit (2017, accessed 9 February 2017)."},{"key":"bibr9-1457496918798197","doi-asserted-by":"publisher","DOI":"10.1007\/s11657-013-0136-1"},{"key":"bibr10-1457496918798197","unstructured":"Stakes: Toimenpideluokitus \/ \u00c5tg\u00e4rdsklassification, 1st ed. 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