Cost of extracorporeal membrane oxygenation: evidence from the Rikshospitalet University Hospital, Oslo, Norway
Cost of extracorporeal membrane oxygenation: evidence from the Rikshospitalet University Hospital, Oslo, Norway
复制标题
DOI：
10.1016/j.ejcts.2009.06.059
复制
发表时间：
2010-02-01
影响因子：
3.4
通讯作者：
Hagen, Terje F.
中科院分区：
文献类型：
--
作者：
Mishra, Vinod;Svennevig, Jan L.;Hagen, Terje F.
目的：主要目的是描述和分析体外膜氧合（ECMO）手术的医院费用。研究样本和方法：2007年1月至12月，连续纳入14例ECMO患者。患者水平的成本是前瞻性登记的，而管理费用是回顾性登记的。患者费用从患者记录和时间运动研究中获得，包括人力资源、诊断和实验室检查、放射学和手术室程序、药物和血液制品。间接费用通过预定义的键分配给临床科室和个别患者。为了估算总成本，总结了患者特定成本和患者特定间接成本。结果：ECMO手术的平均估计费用为73,122美元（标准差34,786），中位数为62,545美元（范围：34,121-154,817）。平均估计总医院费用，包括ecmo术前和术后，为213,246美元（标准差12,265），中位数为191,436美元（范围：59,871-405,497）。平均而言，总住院费用的82%与人员使用有关，血液制品占7%，实验室和放射学占2.5%，一次性用品占3%，药物占1.5%。ECMO手术的平均持续时间为9.5天（范围：4-23天），平均总住院时间为51.5天（范围：6-123天）。成本数据从挪威克朗（NOK）转换为美元（USD），汇率为1美元= 5.5挪威克朗。结论：ECMO手术是一种资源消耗型手术。(C) 2009欧洲心胸外科协会。Elsevier b.v.版权所有。
Objective: The main objective is to describe and analyse hospital costs of the extracorporeal membrane oxygenation (ECMO) procedure. Study sample and methodology: Between January and December 2007, 14 ECMO patients were consecutively included in the study. Costs at the patient level were registered prospectively, while overhead costs were registered retrospectively. Patient costs were obtained from patient records and time-motion studies and included personnel resources, diagnostic and laboratory tests, radiology and operating room procedures, medication and blood products. Overhead costs were allocated to clinical departments and further to the individual patients by predefined keys. To achieve estimates of total costs, patient-specific costs and patient-specified overhead costs were summarised. Results: The mean estimated cost for the ECMO procedure was 73,122 USD (SD 34,786) and median 62,545 USD (range: 34,121-154,817). The mean estimated total hospital costs, including pre- and post-ECMO procedures, was 213,246 USD (SD 12,265), median 191,436 USD (range: 59,871-405,497). On average, 82% of costs for the total hospital stay were related to personnel use, and blood products constituted 7%, lab and radiology 2.5%, disposable items 3% and medication 1.5%. The mean duration of an ECMO procedure was 9.5 days (range: 4-23 days) and the average total length of stay in hospital was 51.5 days (range: 6-123 days). The cost data were converted from Norwegian kroner (NOK) to US dollars (USD), with an exchange rate of 1 USD = 5.5 NOK. Conclusion: ECMO procedure is a resource-demanding procedure. (C) 2009 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V All rights reserved.