Cost-effectiveness of routine intraoperative transesophageal echocardiography in pediatric cardiac surgery: a 10-year experience.

Détails

ID Serval
serval:BIB_FEB46879D6D6
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Cost-effectiveness of routine intraoperative transesophageal echocardiography in pediatric cardiac surgery: a 10-year experience.
Périodique
Anesthesia and Analgesia
Auteur⸱e⸱s
Bettex D.A., Prêtre R., Jenni R., Schmid E.R.
ISSN
0003-2999 (Print)
ISSN-L
0003-2999
Statut éditorial
Publié
Date de publication
2005
Peer-reviewed
Oui
Volume
100
Numéro
5
Pages
1271-5
Langue
anglais
Notes
Publication types: Publication Status: ppublish
Résumé
The beneficial effect of transesophageal echocardiography (TEE) on medical and surgical treatment of children with congenital heart disease has been established. Its cost-effectiveness, however, has not been extensively studied. We analyzed reports of 580 routine TEE examinations performed in our institution between January 1994 and December 2003 in patients younger than 17 yr who required congenital cardiac surgery. After excluding patients who died immediately postoperatively, we identified 33 patients (5.7%) who required a second bypass run on clear-cut indication, i.e., surgical reoperation, and who clearly benefited from TEE findings. An estimate of both fixed and variable costs revealed a savings of 850 to 2655 Swiss francs (CHF) ($690 to $2130 US) per child. This figure undoubtedly underestimates the true cost-effectiveness of routine intraoperative TEE in this setting because we used mostly conservative estimates of the benefits and liberal estimates of the costs. The potential benefits of TEE in hemodynamic monitoring and medical management, in reduction of postoperative morbidity, and in improvement in the quality of life are intangible and were not considered. Although benefits and costs vary according to market conditions, patient populations, surgical practice, and technical expertise with TEE, our analysis demonstrates substantial cost-effectiveness in the use of routine TEE during pediatric cardiac surgery.
Pubmed
Web of science
Création de la notice
16/12/2014 17:21
Dernière modification de la notice
20/08/2019 16:29
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