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Diabetics with ankle fractures have longer lengths of stay, more health care costs

Date:
March 24, 2015
Source:
NYU Langone Medical Center / New York University School of Medicine
Summary:
American researchers have found that patients with diabetes were more likely to incur significantly greater hospital charges (mean: $26,491 diabetes versus $20,428 nondiabetes) and have significantly longer lengths of stay (5.8 days diabetes compared with 3.9 days nondiabetes) compared to patients without diabetes.
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New research from NYU Langone orthopaedic surgeons finds patients with diabetes who fracture their ankle incur significantly more inpatient health care costs compared to patients who do not have diabetes.

The research, led by Kenneth A. Egol, MD, a professor and vice chair of education in the Department of Orthoapedic Surgery at NYU Langone, showed patients with diabetes who undergo ankle fracture surgery have significantly longer lengths of stay and total hospital charges compared to non-diabetics, with worse trends seen among patients with complicated disease.

NYU Langone researchers looked at nearly 59,000 individuals who underwent open reduction and internal fixation (ORIF) surgery to fix an ankle fracture, as recorded by the New York Statewide Planning and Research Cooperative System (SPARCS) database.

About 7,500 patients had diabetes, nearly 1,100 of whom had complicated disease that caused renal or neurologic manifestations.

The researchers found that patients with diabetes were more likely to incur significantly greater hospital charges (mean: $26,491 diabetes versus $20,428 nondiabetes) and have significantly longer lengths of stay (5.8 days diabetes compared with 3.9 days nondiabetes) compared to patients without diabetes.

A similar trend was seen when patients with complicated diabetes were compared to patients with diabetes alone. Such data may be used to convince payers to increase hospital reimbursements for diabetics undergoing ankle fracture surgeries.

"With increasing U.S. diabetes rates, more orthopaedic surgeons are faced with treating the unique needs of patients in this population." says Dr. Egol. "Better understanding of the complications and care considerations among diabetics could allow health care professionals better manage and treat this growing group of patients and keep down medical costs."


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Materials provided by NYU Langone Medical Center / New York University School of Medicine. Note: Content may be edited for style and length.


Cite This Page:

NYU Langone Medical Center / New York University School of Medicine. "Diabetics with ankle fractures have longer lengths of stay, more health care costs." ScienceDaily. ScienceDaily, 24 March 2015. <www.sciencedaily.com/releases/2015/03/150324120904.htm>.
NYU Langone Medical Center / New York University School of Medicine. (2015, March 24). Diabetics with ankle fractures have longer lengths of stay, more health care costs. ScienceDaily. Retrieved May 23, 2017 from www.sciencedaily.com/releases/2015/03/150324120904.htm
NYU Langone Medical Center / New York University School of Medicine. "Diabetics with ankle fractures have longer lengths of stay, more health care costs." ScienceDaily. www.sciencedaily.com/releases/2015/03/150324120904.htm (accessed May 23, 2017).

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