Table 5.
Subcategories of surgical admission cost by age group and urgency compared with patients aged younger than 65 years divided by surgical risk
| Risk category | Age, yr | Surgical admission | No. | OR supplies | OR salaries | Preoperative inpatient | Postoperative inpatient | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|
|
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|
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| Cost, $ | % change, (p value) | Cost, $ | % change, (p value) | Cost, $ | % change, (p value) | Cost, $ | % change, (p value) | ||||
| Low | < 65 | Scheduled | 1258 | 524 | Ref. | 864 | Ref. | 24 | Ref. | 609 | Ref. |
|
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|
|
|
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| Unscheduled | 316 | 368 | 607 | 270 | 764 | ||||||
|
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|
|
|
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| Increased cost of unscheduled | −156 | −257 | 246 | 154 | |||||||
|
| |||||||||||
| 65–79 | Scheduled | 621 | 463 | −12 (< 0.001) | 747 | −13 (< 0.001) | 23 | −2 (0.85) | 610 | 0 (0.96) | |
|
| |||||||||||
| Unscheduled | 57 | 274 | −26 (0.002) | 579 | −5 (0.22) | 261 | −3 (0.74) | 1398 | 83 (< 0.001) | ||
|
| |||||||||||
| Increased cost of unscheduled | −189 | −168 | 238 | 788 | |||||||
|
| |||||||||||
| ≥ 80 | Scheduled | 206 | 345 | −34 (< 0.001) | 650 | −25 (< 0.001) | 17 | −26 (0.03) | 830 | 36 (< 0.001) | |
|
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| Unscheduled | 38 | 274 | −26 (0.008) | 684 | 13 (0.01) | 318 | 18 (0.48) | 2375 | 211 (< 0.001) | ||
|
| |||||||||||
| Increased cost of unscheduled | −70 | 33 | 301 | 1545 | |||||||
|
| |||||||||||
| Moderate | < 65 | Scheduled | 760 | 927 | Ref. | 786 | Ref. | 29 | Ref. | 1714 | Ref. |
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| Unscheduled | 2737 | 565 | 650 | 341 | 1108 | ||||||
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|
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| Increased cost of unscheduled | −362 | −135 | 312 | −606 | |||||||
|
| |||||||||||
| 65–79 | Scheduled | 414 | 955 | 3 (0.46) | 733 | −7 (< 0.001) | 42 | 48 (0.002) | 1811 | 6 (0.25) | |
|
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| Unscheduled | 343 | 503 | −11 (0.08) | 726 | 12 (< 0.001) | 572 | 68 (0.10) | 1524 | 38 (< 0.001) | ||
|
| |||||||||||
| Increased cost of unscheduled | −453 | −7 | 529 | −287 | |||||||
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| ≥ 80 | Scheduled | 56 | 713 | −23 (0.002) | 747 | −5 (0.48) | 186 | 552 (0.25) | 1840 | 7 (0.61) | |
|
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| Unscheduled | 76 | 531 | −6 (0.51) | 827 | 27 (< 0.001) | 531 | 56 (0.002) | 3053 | 175 (< 0.001) | ||
|
| |||||||||||
| Increased cost of unscheduled | −181 | 80 | 345 | 1213 | |||||||
|
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| High | < 65 | Scheduled | 600 | 1534 | Ref. | 1397 | Ref. | 82 | Ref. | 3619 | Ref. |
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| Unscheduled | 496 | 960 | 1099 | 672 | 4491 | ||||||
|
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|
|
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| Increased cost of unscheduled | −574 | −298 | 589 | 872 | |||||||
|
| |||||||||||
| 65–79 | Scheduled | 424 | 1499 | −2 (0.34) | 1348 | −4 (0.02) | 48 | −41 (0.05) | 3913 | 8 (< 0.001) | |
|
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| Unscheduled | 255 | 800 | −17 (0.004) | 981 | −11 (< 0.001) | 899 | 34 (< 0.001) | 6346 | 41 (< 0.001) | ||
|
| |||||||||||
| Increased cost of unscheduled | −699 | −366 | 851 | 2433 | |||||||
|
| |||||||||||
| ≥ 80 | Scheduled | 98 | 1325 | −14 (0.002) | 1174 | −16 (< 0.001) | 60 | −27 (0.27) | 4409 | 22 (< 0.001) | |
| Unscheduled | 88 | 713 | −26 (< 0.001) | 921 | −16 (< 0.001) | 955 | 42 (< 0.001) | 8160 | 82 (< 0.001) | ||
| Increased cost of unscheduled | −612 | −253 | 895 | 3751 | |||||||
OR = operating room; Ref. = reference group.