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Comparison of thromboprophylaxis patterns in arthroplasty in public and private hospitals

Overview of attention for article published in Einstein (São Paulo), August 2015
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  • Among the highest-scoring outputs from this source (#43 of 164)
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Title
Comparison of thromboprophylaxis patterns in arthroplasty in public and private hospitals
Published in
Einstein (São Paulo), August 2015
DOI 10.1590/s1679-45082015gs3057
Pubmed ID
Authors

Aline Pinheiro dos Santos Cortada, Telma Gomes da Silva, André Campos da Silva, Ricardo Prado Golmia, Renata Leborato Guerra, Maíra Libertad Soligo Takemoto, Roberta Dyonisio Canaveira Monteiro, Morton Aaron Scheinberg

Abstract

Objective To compare therapy for prophylaxis of venous thromboembolism and costs related to hospitalization of patients undergoing total knee and hip replacement within the context of the Brazilian health system.Methods A retrospective study of patients undergoing arthroplasty in 2010 in a public hospital and two private hospitals in the state of São Paulo, conducted by means of medical record review. Costs were estimated based on the use of health care resources during hospitalization. A descriptive analysis was performed using frequency and mean (standard deviation) according to the type of care delivered (by public or private organization).Results A total of 215 patients were evaluated, and 56.3% were submitted to knee surgery and 43.7%, to hip replacement. Approximately 88% and 98% of patients from public and private health services, respectively, received some form of venous thromboembolism prophylaxis, and enoxaparin was the drug most widely used in both systems. The total cost of prophylaxis was R$ 1,873.01 (R$ 26.38 per patient) in the public service and R$ 21,559.73 (R$ 163.33 per patient) in the private service. For the individuals who presented with thromboembolism, the average cost of hospitalization was R$ 6,210.80 and R$ 43,792.59 per patient in public and private health services, respectively.Conclusion Thromboembolism prophylaxis in patients undergoing arthroplasty is most commonly used in the private health services than public organizations, despite its high costs in both services. The cost per patient with thrombosis during hospitalization was higher than the total cost of prophylaxis, suggesting that prevention is associated to better cost-benefit ratio.

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 30 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Brazil 1 3%
Unknown 29 97%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 5 17%
Student > Master 4 13%
Student > Ph. D. Student 4 13%
Other 3 10%
Researcher 3 10%
Other 4 13%
Unknown 7 23%
Readers by discipline Count As %
Medicine and Dentistry 9 30%
Pharmacology, Toxicology and Pharmaceutical Science 4 13%
Nursing and Health Professions 3 10%
Economics, Econometrics and Finance 2 7%
Agricultural and Biological Sciences 1 3%
Other 4 13%
Unknown 7 23%

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 12 April 2016.
All research outputs
#7,657,692
of 13,293,718 outputs
Outputs from Einstein (São Paulo)
#43
of 164 outputs
Outputs of similar age
#123,397
of 265,167 outputs
Outputs of similar age from Einstein (São Paulo)
#4
of 8 outputs
Altmetric has tracked 13,293,718 research outputs across all sources so far. This one is in the 40th percentile – i.e., 40% of other outputs scored the same or lower than it.
So far Altmetric has tracked 164 research outputs from this source. They receive a mean Attention Score of 3.0. This one has gotten more attention than average, scoring higher than 71% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 265,167 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 50% of its contemporaries.
We're also able to compare this research output to 8 others from the same source and published within six weeks on either side of this one. This one has scored higher than 4 of them.