TOTAL HIP REPLACEMENT AND RELATED DIAGNOSIS RELATED GROUPS (DRG's) IN THE GREEK HEALTHCARE SYSTEM

Charalampos Tsairidis,Costas Dikeos,Fani Tsolaki,Georgios I Tagarakis,Marios Daskalopoulos,Nikolaos Polyzos,Nikolaos Tsilimingas

doi:10.24297/ijmit.v11i5.4692

Abstract

Aim. To evaluate the Greek Diagnosis Related Groups(DRG's)system in regard to the procedure of total hip arthroplasty. Methods. In a tertiary university orthopedics department implementing clinical protocols we recruited 75 consecutive patients planned to undergototal hip arthroplasty. Indicators of quality and performance were rates of mortality, pulmonary embolism, trauma dehiscence, disarticulation and readmission. Results. All rates of performance were excellent and equal to zero. The mean length of stay was almost identical to the one predicted by the Greek DRG's. Conclusions. Clinical protocols are connected with good clinical results. The predicted by the Greek DRG's hospital length of stay for total hip arthroplasty lies within pragmatic limits.Â

Highlights

Diagnosis Related Groups (DRG's) consist one of the internationally most popular systems used for the standardization and billing of medical and surgical diagnoses and the related diagnostic and therapeutic procedures
As a form of standardization of medical procedures they can be related to the DRG's, as both aim at the improvement of health services
There were no cases of pulmonary embolism among the study patients, no cases of trauma dehiscence, no cases of disarticulation and no cases of readmission

Summary

Methods

In a tertiary university orthopedics department implementing clinical protocols we recruited 75 consecutive patients planned to undergototal hip arthroplasty. Indicators of quality and performance were rates of mortality, pulmonary embolism, trauma dehiscence, disarticulation and readmission. All rates of performance were excellent and equal to zero. The mean length of stay was almost identical to the one predicted by the Greek DRG's. Clinical protocols are connected with good clinical results. The predicted by the Greek DRG's hospital length of stay for total hip arthroplasty lies within pragmatic limits

INTRODUCTION

METHODS

RESULTS