单心脏起器:带有线或没有线? 进行成本效益和成本效益分析
José Ramón Lago-Quinteiro1, Francisco Reyes-Santias2, Manel Antelo3
1Servicio de Cardiologia, Hospital Clínico Universitario de Santiago, Santiago de Compostela, Spain.
Annals of medicine
|May 29, 2025
概括
与传统起器相比,无起器提供了更高的成本效益和成本效益,并没有太多的并发症. 尽管初始成本较高,但大多数情况下,无设备的经济性更高.
科学领域:
- 心脏病学 心脏病学
- 医疗器械技术 医疗器械技术
- 卫生经济学 卫生经济学
背景情况:
- 心脏起器技术在尺寸,重量,功能和耐用性方面取得了进步.
- 基于电池和电极的节拍器的基本结构一直保持一致.
研究的目的:
- 为了比较传统心脏起器与无心脏起器的成本效益和成本效益.
- 评估新兴的无心脏起器技术的经济效益.
主要方法:
- 进行了一项回顾性观察性研究.
- 403名患者在2015年6月至2020年1月期间随机植入了传统或无心脏起器.
- 数据来自圣地亚哥德康波斯特拉大学医院综合体.
主要成果:
- 在159名患者中植入了无起器,在244名患者中植入了常规起器.
- 无心脏起器展示了卓越的成本效益和成本效益.
- 增量成本效益比率为每增加生命年6,263.38欧元,每经质量调整的生命年5,210.71欧元.
结论:
- 无起器与传统起器相比,与更少的并发症有关.
- 虽然无心脏起器设备最初更昂贵,但在约90%的病例中,它们的成本效益更高.
- 长期来看,无心脏起器是一个更有利的经济选择.
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