Abstract
Orthogeriatric co-management of proximal femoral fractures has been proven to effectively reduce mortality rates. This involves extending resources in hospitals treating these patients as well as dealing with the possibility of prolonged periods of hospitalization. The increase in costs of orthogeriatric co-management are best illustrated by the implementation of geriatric early rehabilitation complex treatment. In view of the problems concerning billing this complex treatment, an online survey was carried among certified geriatric trauma centers of the German Trauma Society (DGU®). Based on atrauma-geriatric consensus 20questions were formulated by the Academy of Trauma Surgery (AUC) as an online questionnaire and sent to all 75certified geriatric trauma centers. Apart from adescription of the results, asubanalysis based on the figures presented by the case closing departments (geriatrics or trauma surgery) was included. The questions covered a2-year period of experiences from 2016 to 2018. Atotal of 26of the 75certified geriatric trauma centers participated (35%). Acontinuous increase in cost analysis evaluations by the medical services of the health funds was observed. Arise from 38% in 2016 to 45% in 2018 was seen. An analogous rejection trend from 16% to 24% during this period was evident as well. Subanalysis revealed significantly higher cost evaluation by the medical services of the health funds and cost rejection rates if trauma departments were the case closing disciplines. The online survey revealed significantly higher assessment and rejection rates when compared to other hospital services. This could prove potentially detrimental to the future of orthogeriatric co-management.
Published Version
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