Mortality and Financial Burden of XXXX of the Femur.

@entity1 @entity3330 @entity3564 @entity174
OBJECTIVE: This study examines @entity1 factors to identify risks of 12-month mortality following periprosthetic @entity174 . Hospital charges were analyzed to quantify the financial burden for treatment modalities. METHODS: Data were retrospectively analyzed from a prospective database at a university hospital setting. One-hundred and thirteen @entity1 with a @entity3564 of the proximal or distal femur were identified. Risk factors for 12-month mortality were analyzed, and financial data were compared between the various treatment modalities. RESULTS: In all, 14% of @entity1 died (16 of 113) within 3 months and the 1-year mortality was 17.7% (20 of 113). @entity1 who died within 1 year had higher hospital charges (US 33 880    25 051 vs US 22 886    16 841; P = .01) and were older (87.6    8.5 vs 81.5    8.6; P = .004). Logistic regression analysis revealed age was the only significant predictor of 1-year mortality (P = .029, odds ratio 1.1). Analysis of financial data revealed 4 distinct groups (P < .05 between groups). Distal femoral revision arthroplasty (RA-DF) generated the highest hospital charges of US 91 035    25 579 (n = 3). The second most highly charged group included proximal @entity3330 treated with revision arthroplasty (US 34 078    17 832; n = 20) and hemi/total hip arthroplasty (THA; US 41 556    23 651; n = 8). The third most charged group underwent open reduction internal fixation of the proximal (US 18 706    6829; n = 35) and distal (US 22 381    10 835; n = 35) femur. Nonoperative treatment generated the lowest charges (US 6426    2899; n = 11). On average, the hospital lost money treating @entity1 with RA-DF (US -19 080    2022 per @entity1 ) and hemi/THA (US -6594    9305 per @entity1 ), while all other treatment groups were profitable. CONCLUSION: One-year mortality after periprosthetic @entity174 was 17.7%, is mostly influenced by age, and 80% of deaths occur within 3 months. @entity1 treated with primary/revision arthroplasty generate more hospital charges than internal fixation. The average @entity1 treated with revision arthroplasty of the distal femur or hemi/THA for a periprosthetic @entity174 resulted in net financial losses for the hospital.
