诊断大脑血管造影的跨射线与转道接入途径:一个大型单中心比较成本分析研究
Elias Atallah1, Kareem El Naamani1, Arbaz A Momin1
11Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia; and.
Journal of neurosurgery
|November 17, 2023
概括
诊断大脑血管造影的跨射线 (TR) 方法在成本上与输膜 (TF) 途径相比较. 然而,TR可能更具成本效益,特别是如果出现并发症.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 放射学 放射学是一门学科.
背景情况:
- 超射线 (TR) 方法越来越多地被青而不是脑血管学转移管道 (TF) 途径,因为提高了安全性和患者满意度.
- 在比较这些血管接入方法时,成本效益仍然是关键考虑因素.
研究的目的:
- 为了比较通过透射 (TR) 与输血 (TF) 途径进行的诊断性脑血管造影的整体和个体设备成本.
- 根据程序路线和潜在的并发症来确定成本差异.
主要方法:
- 在2019年12月至2022年3月期间进行的926次选择性诊断血管图的回顾性分析.
- 在TR和TF群体之间比较人口特征,程序费用和设备费用.
主要成果:
- 在TR (12,591.80 ± 19,128.00美元) 和TF (12,789.50 ± 18,424.00美元) 路线 (p = 0.88) 之间,总体程序成本相似.
- 在TR组中,导管的中位成本较高 (55.20美元对12.40美元,p = 0.03).
- TF组的关闭装置 (87.00美元与20.20美元相比,p < 0.001) 和盖子 (44.60美元±11.3美元与41.10美元±3.10美元相比,p < 0.001) 的中位成本显著更高.
结论:
- 透射方法可以成为诊断脑血管造影的经济有效的替代方案,特别是当考虑并发症时.
- 进一步的研究可能会支持透射线路作为大脑血管造影的成本效益标准.
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