在一个垂直集成的医疗保健系统中,先进的局部辅助血静止剂的使用增加的现实世界的利用模式
Lee Stern1, Yi-Chien Lee1, Biwen Tao1
1LASER Analytica, New York, NY.
Journal of health economics and outcomes research
|September 4, 2023
概括
像SURGICEL® FIBRILLARTM和SURGICEL SNOW®这样的先进静血产品在高风险患者中使用,但每例需要的单位比SURGICEL® ORIGINAL少. 需要进一步的研究.
科学领域:
- 手术创新 在外科创新.
- 生物材料在医学中的应用
- 血静管理 血静管理
背景情况:
- 氧化再生纤维素血静产品在外科手术中被广泛使用.
- 斯基塞尔®原始和先进的斯基塞尔® (FIBRILLARTM,SNOW®) 是主要的静血剂.
- 了解利用模式对于优化手术出血控制至关重要.
研究的目的:
- 描述和比较SURGICEL®原始和高级SURGICEL®产品的使用模式.
- 分析与每个产品类型相关的患者特征和手术程序.
- 为了评估每例患者使用的静血物质的数量.
主要方法:
- 从2013年8月到2015年6月使用电子病历 (EMR) 进行的回顾性观察研究.
- 对1471名在亨利福特医疗系统接受常见外科手术的患者进行分析.
- 在SURGICEL® ORIGINAL和高级SURGICEL®产品之间比较描述性测量.
主要成果:
- 先进的SURGICEL®产品用于患有更多并发症,出血情况和使用抗凝剂的患者.
- 先进的SURGICEL®产品在冠状动脉旁路移植中更频繁地使用.
- 与SURGICEL® ORIGINAL (5.5) 相比,每例患者使用的高级SURGICEL®正常化单位平均较少 (3.9).
结论:
- 先进的SURGICEL®产品在高风险出血场景中得到有效使用.
- 尽管具有较高风险的应用,但先进的SURGICEL®产品在所需的数量较少的情况下显示出高效的使用.
- 进一步调查局部血静止剂对结果和成本的影响是有必要的.
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