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...
Source: Cirugia Espanola - Category: Surgery Source Type: research

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DiscussionMCI prevalence varied among Hispanic/Latino backgrounds, but not as widely as reported in the previous studies. CVD risk and depressive symptoms were associated with increased MCI, whereas APOE4 was not, suggesting alternative etiologies for MCI among diverse Hispanics/Latinos. Our findings suggest that mitigating CVD risk factors may offer important pathways to understanding and reducing MCI and possibly dementia among diverse Hispanics/Latinos.
Source: Alzheimer's and Dementia: The Journal of the Alzheimer's Association - Category: Geriatrics Source Type: research
CONCLUSIONS: Local application of sevoflurane in the wound bed appears to exhibit analgesic, antimicrobial, and positive healing effects. It could be a promising alternative treatment to be included as a therapeutic option for wound care. PMID: 31730517 [PubMed - in process]
Source: Wounds - Category: General Medicine Tags: Wounds Source Type: research
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Source: Wounds - Category: General Medicine Tags: Wounds Source Type: research
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Source: Wounds - Category: General Medicine Tags: Wounds Source Type: research
CONCLUSIONS: From this case report, the authors believe NPWTi-d may be more effective in cases with intractable ulcers associated with infection that need better granulation. PMID: 31730514 [PubMed - in process]
Source: Wounds - Category: General Medicine Tags: Wounds Source Type: research
Authors: Roshangar L, Soleimani Rad J, Kheirjou R, Reza Ranjkesh M, Ferdowsi Khosroshahi A Abstract Burn wounds are one of the main causes of skin damage. Based on World Health Organization statistics, almost 300 000 people worldwide die of burns each year. In severe burns, the cells and blood vessels are often injured and the blood supply to the wound is disturbed. Many factors such as oxygenation, infection, aging, hormones, and nutrition potentially can influence burn progression and disrupt repair with unbalanced release of various growth factors and cytokines. Different treatment approaches such as dressings a...
Source: Wounds - Category: General Medicine Tags: Wounds Source Type: research
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Source: Wounds - Category: General Medicine Tags: Wounds Source Type: research
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Source: Wounds - Category: General Medicine Tags: Wounds Source Type: research
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Source: Wounds - Category: General Medicine Tags: Wounds Source Type: research
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Source: Wounds - Category: General Medicine Tags: Wounds Source Type: research
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