Social profile and cost analysis of deep infection following total hip replacement surgery

• Main Authors: Vera Lucia Frazão, Helder de Souza Miyahara, Ricardo Akihiro Kirihara, Ana Lucia Lei Munhoz Lima, Alberto Tesconi Croci, José Ricardo Negreiros Vicente
• Format: Article
• Language: English
• Published: Sociedade Brasileira de Ortopedia e Traumatologia
• Series: Revista Brasileira de Ortopedia
• Subjects: Artroplastia de quadril; Infecção; Análise de custo
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000600720&lng=en&tlng=en

ABSTRACT OBJECTIVE: To characterize the socio-economic and demographic profile of patients undergoing surgery for revision total hip arthroplasty regarding the diagnosis of deep prosthetic infection. METHODS: Twenty patients were retrospectively studied, admitted in the period between 2009 and 2010 by the Hip Surgery Group with the diagnosis of deep prosthetic infection, whose proposed treatment was surgical. This study was carried out in the presence of the patient by completing two forms applied by the social worker of the Group. RESULTS: In a 20-patient sample, 40% were male, 45% were working age, 50% of patients originated from the capital, 85% depended on benefits, 70% were retired, 60% of patients were from this hospital, and 40% were from other services. The average cost of patients to the public system was R$ 55,821.62 per patient and the total spent on treatment of patients in the study exceeded one million Brazilian reals, totalling R$ 1,116,432.40. CONCLUSION: Infection from total hip arthroplasty generates a major expense to the social security system and to the public healthcare system. Physicians must always be alert to the possible risk factors and perioperative care, striving to minimize this complication.