局部麻醉与开放性出血栓切除术的阻:来自随机,双盲受控试验的成本分析
Franck Katembo Sikakulya1,2, Robinson Ssebuufu3, Xaviour Francis Okedi4
1Faculty of Clinical Medicine and Dentistry, Department of Surgery, Kampala International University Western Campus, Ishaka-Bushenyi, Uganda. francksikakulya@gmail.com.
BMC health services research
|November 23, 2023
概括
在低收入国家,开放性出血栓切除术 (OH) 的局部麻醉 (LA) 比坐麻醉更具成本效益,更快速. 这项研究突出了LA LA.
科学领域:
- 手术麻醉手术麻醉
- 卫生经济学 卫生经济学
- 全球手术全球手术
背景情况:
- 在低收入国家,尽管有好处,但开放性出血栓切除术 (OH) 的局部麻醉 (LA) 尚未得到充分利用.
- 这项研究探讨了乌干达OH的LA与块 (SB) 的成本效益.
- 试验注册:泛非洲临床试验注册,PACTR202110667430356. 试验注册:泛非洲临床试验注册,PACTR202110667430356.
研究的目的:
- 为了比较使用LA和SB的OH的成本和操作时间,在患有3度或4度的患者中.
- 评估LA作为资源有限的环境中的初级麻醉技术的经济可行性.
主要方法:
- 一项从2021年12月到2022年5月进行的试验包括患有初级无并发症的第三或第四度的患者.
- 操作时间和直接的医疗/非医疗费用记录在LA和SB两组.
- 数据使用SPSS 23.0.0 版本进行分析.
主要成果:
- 分析了58名患者 (每组29名),显示在操作时间和成本 (p <0.05) 中存在显著差异.
- LA的平均运行时间为15.52 ± 5.34分钟,明显短于SB (33.72 ± 11.54分钟).
- 洛杉矶的平均成本为57.42美元±8.90美元,相比之下,SB的平均成本为63.38美元±12.77美元.
结论:
- 对OH的局部麻醉证明了减少操作时间和更高的成本效益.
- 负担得起的LA可以增加患者的吞吐量,解决等待列表.
- 政策建议强调LA在低收入环境中的适用性,以支持2030年全球手术目标.
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