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Published on: September 15, 2023
Comparative costs between myocardial revascularization with or without extracorporeal circulation
Priscyla B M A Girardi1, Whady Hueb, Célia R S R Nogueira
1Instituto do Coração, Hospital do Coração, Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP - Brazil.
Arquivos Brasileiros De Cardiologia
|January 15, 2009
Summary
Myocardial revascularization surgery without extracorporeal circulation (ECC) significantly reduces hospital costs and patient stay duration. This approach offers a more cost-effective and efficient treatment for coronary artery disease.
Area of Science:
- Cardiovascular Surgery
- Health Economics
- Medical Technology Assessment
Background:
- Myocardial revascularization surgery without extracorporeal circulation (ECC) aims to reduce systemic damage, complications, and hospital stay.
- This technique holds promise for lowering overall hospital costs associated with coronary artery bypass grafting.
Purpose of the Study:
- To compare hospital costs for myocardial revascularization with and without ECC in patients with stable multi-arterial coronary disease.
- To evaluate the economic impact and resource utilization in both surgical approaches.
Main Methods:
- Hospital costs were determined based on governmental reimbursement rates.
- Included costs for prostheses, clinical complications, ICU stay, and overall hospital duration.
- Randomized controlled trial comparing surgery with ECC (SECC) versus without ECC (WECC).
Main Results:
- Surgery without ECC (WECC) demonstrated significantly lower costs for surgical complications and ICU stay compared to SECC.
- WECC group showed reduced operating room and ICU stay durations, as well as shorter intubation times.
- Basal patient characteristics were similar between the WECC and SECC groups.
Conclusions:
- Myocardial revascularization without ECC leads to decreased operational costs.
- Shorter hospital and ICU stay durations are associated with the off-pump technique.
- The findings support the economic benefits of performing myocardial revascularization without extracorporeal circulation.
