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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
|
pubmed:dateCreated |
1990-3-5
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pubmed:abstractText |
This is a prospective study of 500 consecutive patients having coronary artery bypass surgery; mean hospital charge from time of surgery to discharge was +11,900 +/- 12,700. Multiple regression analysis was performed using preoperative variables and postoperative complications. No preoperative clinical feature was a significant predictor of higher average charge. Sternal wound infection (p = 0.0001), respiratory failure (p = 0.0001) and left ventricular failure (p = 0.017) were associated with higher average hospital charge. The absence of any complication predicted a lower average charge, and postoperative death (4.4 +/- 4.5 days after surgery) was also associated with lower average charge. A cost equation was developed: hospital charge equalled $11,217 + $41,559 of sternal wound infection, + $28,756 for respiratory failure, + $5,186 for left ventricular failure, - $1,798 for no complication and - $6,019 for death. Recognition of the influence of complications on charges suggests that low average charges can only be achieved by surgical programs with a low complication rate.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Feb
|
pubmed:issn |
0002-9149
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
1
|
pubmed:volume |
65
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
309-13
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2105627-Aged,
pubmed-meshheading:2105627-Coronary Artery Bypass,
pubmed-meshheading:2105627-Cost-Benefit Analysis,
pubmed-meshheading:2105627-Fees and Charges,
pubmed-meshheading:2105627-Female,
pubmed-meshheading:2105627-Humans,
pubmed-meshheading:2105627-Illinois,
pubmed-meshheading:2105627-Male,
pubmed-meshheading:2105627-Middle Aged,
pubmed-meshheading:2105627-Postoperative Complications,
pubmed-meshheading:2105627-Prospective Studies,
pubmed-meshheading:2105627-Regression Analysis,
pubmed-meshheading:2105627-Surgical Wound Infection
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pubmed:year |
1990
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pubmed:articleTitle |
Determinants of hospital charges for coronary artery bypass surgery: the economic consequences of postoperative complications.
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pubmed:affiliation |
Prairie Cardiovascular Center, Springfield, Illinois.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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