Economic Cost Analysis Related to Complications in General and Digestive Surgery

Publication date: May 2018Source: Cirugía Española (English Edition), Volume 96, Issue 5Author(s): Juan-Carlos Gomez-Rosado, Jose Salas-Turrens, Antonio Olry-de-Labry-LimaAbstractIntroductionThe aim was to assess the impact on economic costs and length of stay (LOS) of postoperative complications.Methods5822 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 conclusionsMean 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 (€11 670.31 vs €3354.12); infectious complications were the most frequent and respiratory the most expensive (€20 428.53), together with ICU admission (€20 242.66). 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.ResumenIntroducciónEl objetivo es analizar el impacto en costes económicos y estancias de las complicaciones quirúrgicas.MétodosIn...
Source: Cirugia Espanola - Category: Surgery Source Type: research