Economic Cost Analysis Related to Complications in General and Digestive Surgery

Publication date: Available online 21 May 2018 Source:Cirugía Española (English Edition) Author(s): Juan-Carlos Gomez-Rosado, Jose Salas-Turrens, Antonio Olry-de-Labry-Lima Introduction The aim was to assess the impact on economic costs and length of stay (LOS) of postoperative complications. Methods 5822 records from BMDS (2014–2015) are included. A descriptive, univariate and multivariate study evaluated the correlation between complications, Clavien-Dindo grade and vacation periods with LOS and economic costs, based on a full-cost model, aggregated by DRG. Results and conclusions Mean cost per stay was €676.71, and €4309.02 per episode. Complications appeared in 639 patients (11%). Admission to ICU was required in 203 patients, re-operation in 134 and re-admission in 243, while 66 patients died (1.1%). Complications caused significantly longer LOS (20.08 vs 5.48 days) and higher economic cost (€11670.31 vs €3354.12); infectious complications were the most frequent and respiratory the most expensive (€20428.53), together with ICU admission (€20242.66). Clavien-Dindo grade correlated with greater LOS and costs (except grade V). During vacation periods, complications and LOS are increased, but costs of these complications and LOS did not differ significantly from complications detected in non-vacation periods.
Source: Cirugia Espanola - Category: Surgery Source Type: research