Linked Life Data

7486081

Source:http://linkedlifedata.com/resource/pubmed/id/7486081

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
1995-12-19
pubmed:abstractText
We tested whether hypothetical improvements in the quality of perioperative care can decrease hospital costs for elective surgical operations. Our case series was constructed retrospectively of consecutive patients who underwent one of the following elective operations at our tertiary care center: lung lobectomy (137), coronary artery bypass (339), kidney transplant (251), total hip replacement (305), laparoscopic cholecystectomy (203), or cesarean section (649). Only hospital costs were included in our study. Eliminating adverse anesthetic outcomes (identified by chart review) entirely would decrease total hospital costs (i.e., for all patients in that group) by less than 0.5% (95% confidence bound < 1.2%) for kidney transplant, 1.8% (< 3.5%) for total hip replacement, 0% for laparoscopic cholecystectomy, and 2.2% (< 6.2%) for cesarean section. In contrast, a hypothetical quality improvement that would have the effect of decreasing costs for the 10% most expensive patients just to the group median would decrease total costs by 30% (15%-44%) for lung lobectomy and 16% (10%-21%) for coronary artery bypass. We conclude that for low- and moderate-risk procedures, hypothetical improvements in the quality of anesthetic care will not reduce costs. However, improving the quality of perioperative care may be cost efficient for high-risk operations.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
0003-2999
pubmed:author
pubmed:issnType
Print
pubmed:volume
81
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
939-44
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
1995
pubmed:articleTitle
The cost efficacy of hypothetically eliminating adverse anesthetic outcomes from high-risk, but neither low- nor moderate-risk, surgical operations.
pubmed:affiliation
Department of Anesthesia, University of Iowa, Iowa City 52242, USA.
pubmed:publicationType
Journal Article