Issa Navab, MD; Saeed Reza Mehrpour, MD; Mehdi Jaafari, MD
Abstract
Background: This study was intended to assess the total hospital cost of the patients with hip fractures (intertrochantric and femoral neck) in a teaching hospital. The aim was to show the financial burden on the patients and the society, and argue on the benefits of osteoporosis prophylaxis in order ...
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Background: This study was intended to assess the total hospital cost of the patients with hip fractures (intertrochantric and femoral neck) in a teaching hospital. The aim was to show the financial burden on the patients and the society, and argue on the benefits of osteoporosis prophylaxis in order to decrease incidence of such fractures.Methods: The study was a chart review of 164 patients over 65 years of age with hip fractures hospitalized in Shariati hospital in a 3-year interval. The in-hospital expenses were calculated.Results: In 92 females and 72 males, the age range varied from 65 to 98 years. The average hospitalization period was 8 days. 85 patients spent an average of 2 days in the intensive care unit. The hospital cost for such person was 7.873.900 Rials (830 $US). The highest cost was 31.800.000 Rials, and the lowest, in a person who did not receive any operation, was 670.000 Rials. The total hospital expense in one year for hip fracture was 2000 million Rials.Conclusions: Personal and society costs are high for any hip fracture. Screening and treatment of osteoporosis may help to decrease this cost.
Bahador Alami Harandi, MD; Saeed Reza Mehrpour, MD
Abstract
The usage of electricity has revolutionized the surgical procedures. Electrical current less than 5 KHz, causes electrolysis and its main usage is in cosmetic procedures. Electrical current more than 20 and less than 350 KHz causes severe stimulation of nerves and muscles and even death and it does not ...
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The usage of electricity has revolutionized the surgical procedures. Electrical current less than 5 KHz, causes electrolysis and its main usage is in cosmetic procedures. Electrical current more than 20 and less than 350 KHz causes severe stimulation of nerves and muscles and even death and it does not have very much usage in medicine. Electrical current more than 350 KHz doesn’t stimulate the nerves and muscles and its heat will have the useful clinical effects like cutting and coagulation. High electrical current with low voltage will cause cutting the tissues and high voltage current will cause more coagulation. In electrocautery the electrical current does not pass from the body and the heat in the metalic loop of electrocautery causes the cutting and coagulation.In electrosurgery the electrical current passes from the body. In monopolar surgery, a return electrode is put underneath the patient and the other pole is in the surgeons’ hand whereas in bipolar surgery the current passes from a small area of body between two electric points. Monopolar surgery is used in big surgeries and the bipolar is used in delicate ones. Attention should be paid in placement of the return electrode to prevent electrical burn.