同一天的骨髓切除术关闭排放降低了成本,但没有影响结果:经济分析
Davide Ferrari1,2, Tommaso Violante1,3, James P Moriarty4
1Department of Surgery, Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, MN.
Annals of surgery
|March 28, 2024
概括
同一天出院 (SDD) 转向循环静脉切除术 (DLI) 关闭显著降低了每名患者的住院费用,与标准方案相比,每名患者住院费用为4827美元. 这种增强的恢复途径提供了经济效益,而不会影响患者的安全或结果.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 外科手术的结果
- 卫生经济学 卫生经济学
背景情况:
- 每年,在美国有超过5万名患者需要暂时逆转口腔.
- 门诊性口腔关闭是一种有希望的替代方案,但采用速度很慢.
- 专注于2020年启动的新型当日放电 (SDD) 协议的经济影响,以关闭转向循环静脉切除术 (DLI).
研究的目的:
- 为了评估当天出院 (SDD) 增强恢复途径的成本效益,用于转向循环静脉切除术 (DLI) 关闭.
- 将SDD DLI关闭的成本与标准的机构增强恢复协议进行比较.
主要方法:
- 追溯病例控制研究,将SDD DLI关闭患者与匹配的住院患者队列进行比较.
- 从2020年8月到2023年2月在梅奥诊所网站收集的数据.
- 主要结果:直接住院费用和出院后30天的费用. 根据关键的人口统计和临床因素对患者进行匹配.
主要成果:
- 与住院治疗组 (n=236) 相比,SDD组 (n=118) 的住院和30天术后费用中位数显著降低,每名患者节省了4827美元.
- 在SDD和住院患者组之间,并发症,再入院或重新手术率没有显著差异.
结论:
- 实施用于DLI关闭的SDD可以大幅节省成本.
- 这种方法不会影响患者的结果,包括并发症和再入院率.
- SDD协议具有经济优势,并提高医疗保健资源利用率,倡导更广泛的采用.
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