Comparative Costs between Myocardial Revascularization with or without Extracorporeal Circulation
Autor(a) principal: | |
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Data de Publicação: | 2008 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FURG (RI FURG) |
Texto Completo: | http://repositorio.furg.br/handle/1/3868 |
Resumo: | Background: Surgical techniques of myocardial revascularization without the use of extracorporeal circulation (ECC) have raised hopes of attaining operative results with less systemic damage, lower occurrence of clinical complications and shorter hospital stay duration, generating expectations of lower hospital costs. Objective: To evaluate the hospital costs in patients submitted to myocardial revascularization with and without ECC and in those with stable multiarterial coronary disease with preserved ventricular function. Methods: The hospital costs were based on the existing governmental reimbursement. The costs included that of ortheses and prostheses and clinical complications. The time and costs of ICU stay and hospital stay duration were considered. Results: Between January 2002 and August 2006, 131 patients were randomized to surgery with ECC (SECC), whereas 128 were randomized to surgery without ECC (WECC). The basal characteristics were similar for both groups. The costs of surgical complications were significantly lower (p < 0.001) in patients from the WECC when compared to the SECC group (606.00 ± 525.00 vs. 945.90 ± 440.00), as well as ICU costs: 432.20 ± 391.70 vs. 717.70 ± 257.70, respectively. The duration of the operating room stay were 4.9 ± 1.1 h vs. 3.9 ± 1.0 h, p < 0.001; at the ICU it was 48.2 ± 17.2 h vs. 29.2 ± 26.1h) (p < 0.001), with intubation time of 9.2 ± 4.5 h vs. 6.4 ± 5.1h, p < 0.001 for patients from the group with and without ECC, respectively. Conclusion: The present study allowed us to conclude that the myocardial revascularization surgery without extracorporeal circulation results in the decrease of operational costs and duration of the stay in each section related to the surgical treatment. |
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Girardi, Priscyla Borges Miyamoto de AraujoHueb, Whady ArmindoNogueira, Celia Regina Simões da RochaTakiuti, Myrthes EmyNakano, TeryoGarzillo, Cibele LarrosaPaulitsch, Felipe da SilvaGóis, Aécio Flávio Teixeira deLopes, Neuza Helena MoreiraStolf, Noedir Antônio Groppo2013-09-24T19:21:22Z2013-09-24T19:21:22Z2008GIRARDI, Priscyla Borges Miyamoto de Araujo et al. Comparative Costs between Myocardial Revascularization with or without Extracorporeal Circulation. Arquivos Brasileiros de Cardiologia, São Paulo, v. 91, n. 6, p. 340-347, 2008. Disponível em: <http://www.scielo.br/scielo.php?pid=s0066-782x2008001800003&script=sci_arttext&tlng=en>. Acesso em: 31 ago. 20120066-782Xhttp://repositorio.furg.br/handle/1/386810.1590/S0066-782X2008001800003Background: Surgical techniques of myocardial revascularization without the use of extracorporeal circulation (ECC) have raised hopes of attaining operative results with less systemic damage, lower occurrence of clinical complications and shorter hospital stay duration, generating expectations of lower hospital costs. Objective: To evaluate the hospital costs in patients submitted to myocardial revascularization with and without ECC and in those with stable multiarterial coronary disease with preserved ventricular function. Methods: The hospital costs were based on the existing governmental reimbursement. The costs included that of ortheses and prostheses and clinical complications. The time and costs of ICU stay and hospital stay duration were considered. Results: Between January 2002 and August 2006, 131 patients were randomized to surgery with ECC (SECC), whereas 128 were randomized to surgery without ECC (WECC). The basal characteristics were similar for both groups. The costs of surgical complications were significantly lower (p < 0.001) in patients from the WECC when compared to the SECC group (606.00 ± 525.00 vs. 945.90 ± 440.00), as well as ICU costs: 432.20 ± 391.70 vs. 717.70 ± 257.70, respectively. The duration of the operating room stay were 4.9 ± 1.1 h vs. 3.9 ± 1.0 h, p < 0.001; at the ICU it was 48.2 ± 17.2 h vs. 29.2 ± 26.1h) (p < 0.001), with intubation time of 9.2 ± 4.5 h vs. 6.4 ± 5.1h, p < 0.001 for patients from the group with and without ECC, respectively. Conclusion: The present study allowed us to conclude that the myocardial revascularization surgery without extracorporeal circulation results in the decrease of operational costs and duration of the stay in each section related to the surgical treatment.engHospital costsExtracorporeal circulation/economic/adverse effectsCoronary artery bypassOff pumpMyocardial revascularizationCoronary arteriosclerosisComparative Costs between Myocardial Revascularization with or without Extracorporeal Circulationinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FURG (RI FURG)instname:Universidade Federal do Rio Grande (FURG)instacron:FURGORIGINAL07_FELIPE_Comparative Costs between.pdf07_FELIPE_Comparative Costs between.pdfapplication/pdf204525https://repositorio.furg.br/bitstream/1/3868/1/07_FELIPE_Comparative%20Costs%20between.pdfc31a14fc804bb3058020c57ae7d71c36MD51open accessLICENSElicense.txtlicense.txttext/plain; charset=utf-81678https://repositorio.furg.br/bitstream/1/3868/2/license.txtd3be63d3b3eee02729709361dac69efeMD52open access1/38682014-09-11 14:57:31.944open accessoai:repositorio.furg.br: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ório InstitucionalPUBhttps://repositorio.furg.br/oai/request || http://200.19.254.174/oai/requestopendoar:2014-09-11T17:57:31Repositório Institucional da FURG (RI FURG) - Universidade Federal do Rio Grande (FURG)false |
dc.title.pt_BR.fl_str_mv |
Comparative Costs between Myocardial Revascularization with or without Extracorporeal Circulation |
title |
Comparative Costs between Myocardial Revascularization with or without Extracorporeal Circulation |
spellingShingle |
Comparative Costs between Myocardial Revascularization with or without Extracorporeal Circulation Girardi, Priscyla Borges Miyamoto de Araujo Hospital costs Extracorporeal circulation/economic/adverse effects Coronary artery bypass Off pump Myocardial revascularization Coronary arteriosclerosis |
title_short |
Comparative Costs between Myocardial Revascularization with or without Extracorporeal Circulation |
title_full |
Comparative Costs between Myocardial Revascularization with or without Extracorporeal Circulation |
title_fullStr |
Comparative Costs between Myocardial Revascularization with or without Extracorporeal Circulation |
title_full_unstemmed |
Comparative Costs between Myocardial Revascularization with or without Extracorporeal Circulation |
title_sort |
Comparative Costs between Myocardial Revascularization with or without Extracorporeal Circulation |
author |
Girardi, Priscyla Borges Miyamoto de Araujo |
author_facet |
Girardi, Priscyla Borges Miyamoto de Araujo Hueb, Whady Armindo Nogueira, Celia Regina Simões da Rocha Takiuti, Myrthes Emy Nakano, Teryo Garzillo, Cibele Larrosa Paulitsch, Felipe da Silva Góis, Aécio Flávio Teixeira de Lopes, Neuza Helena Moreira Stolf, Noedir Antônio Groppo |
author_role |
author |
author2 |
Hueb, Whady Armindo Nogueira, Celia Regina Simões da Rocha Takiuti, Myrthes Emy Nakano, Teryo Garzillo, Cibele Larrosa Paulitsch, Felipe da Silva Góis, Aécio Flávio Teixeira de Lopes, Neuza Helena Moreira Stolf, Noedir Antônio Groppo |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Girardi, Priscyla Borges Miyamoto de Araujo Hueb, Whady Armindo Nogueira, Celia Regina Simões da Rocha Takiuti, Myrthes Emy Nakano, Teryo Garzillo, Cibele Larrosa Paulitsch, Felipe da Silva Góis, Aécio Flávio Teixeira de Lopes, Neuza Helena Moreira Stolf, Noedir Antônio Groppo |
dc.subject.por.fl_str_mv |
Hospital costs Extracorporeal circulation/economic/adverse effects Coronary artery bypass Off pump Myocardial revascularization Coronary arteriosclerosis |
topic |
Hospital costs Extracorporeal circulation/economic/adverse effects Coronary artery bypass Off pump Myocardial revascularization Coronary arteriosclerosis |
description |
Background: Surgical techniques of myocardial revascularization without the use of extracorporeal circulation (ECC) have raised hopes of attaining operative results with less systemic damage, lower occurrence of clinical complications and shorter hospital stay duration, generating expectations of lower hospital costs. Objective: To evaluate the hospital costs in patients submitted to myocardial revascularization with and without ECC and in those with stable multiarterial coronary disease with preserved ventricular function. Methods: The hospital costs were based on the existing governmental reimbursement. The costs included that of ortheses and prostheses and clinical complications. The time and costs of ICU stay and hospital stay duration were considered. Results: Between January 2002 and August 2006, 131 patients were randomized to surgery with ECC (SECC), whereas 128 were randomized to surgery without ECC (WECC). The basal characteristics were similar for both groups. The costs of surgical complications were significantly lower (p < 0.001) in patients from the WECC when compared to the SECC group (606.00 ± 525.00 vs. 945.90 ± 440.00), as well as ICU costs: 432.20 ± 391.70 vs. 717.70 ± 257.70, respectively. The duration of the operating room stay were 4.9 ± 1.1 h vs. 3.9 ± 1.0 h, p < 0.001; at the ICU it was 48.2 ± 17.2 h vs. 29.2 ± 26.1h) (p < 0.001), with intubation time of 9.2 ± 4.5 h vs. 6.4 ± 5.1h, p < 0.001 for patients from the group with and without ECC, respectively. Conclusion: The present study allowed us to conclude that the myocardial revascularization surgery without extracorporeal circulation results in the decrease of operational costs and duration of the stay in each section related to the surgical treatment. |
publishDate |
2008 |
dc.date.issued.fl_str_mv |
2008 |
dc.date.accessioned.fl_str_mv |
2013-09-24T19:21:22Z |
dc.date.available.fl_str_mv |
2013-09-24T19:21:22Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
GIRARDI, Priscyla Borges Miyamoto de Araujo et al. Comparative Costs between Myocardial Revascularization with or without Extracorporeal Circulation. Arquivos Brasileiros de Cardiologia, São Paulo, v. 91, n. 6, p. 340-347, 2008. Disponível em: <http://www.scielo.br/scielo.php?pid=s0066-782x2008001800003&script=sci_arttext&tlng=en>. Acesso em: 31 ago. 2012 |
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http://repositorio.furg.br/handle/1/3868 |
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0066-782X |
dc.identifier.doi.pt_BR.fl_str_mv |
10.1590/S0066-782X2008001800003 |
identifier_str_mv |
GIRARDI, Priscyla Borges Miyamoto de Araujo et al. Comparative Costs between Myocardial Revascularization with or without Extracorporeal Circulation. Arquivos Brasileiros de Cardiologia, São Paulo, v. 91, n. 6, p. 340-347, 2008. Disponível em: <http://www.scielo.br/scielo.php?pid=s0066-782x2008001800003&script=sci_arttext&tlng=en>. Acesso em: 31 ago. 2012 0066-782X 10.1590/S0066-782X2008001800003 |
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