Le cout relatif de l'anesthesie pour la cholecystectomie laparoscopique est peu eleve. [Relative anesthesia-cost for laparoscopic cholecystectomy: fairly low]

Détails

ID Serval
serval:BIB_CA86FD0E36A5
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Le cout relatif de l'anesthesie pour la cholecystectomie laparoscopique est peu eleve. [Relative anesthesia-cost for laparoscopic cholecystectomy: fairly low]
Périodique
Canadian Journal of Anaesthesia
Auteur(s)
Pradervand Mooser  M., Gardaz  J. P., Capt  H., Spahn  D. R.
ISSN
0832-610X (Print)
Statut éditorial
Publié
Date de publication
07/2002
Volume
49
Numéro
6
Pages
540-4
Notes
Clinical Trial
English Abstract
Journal Article
Research Support, Non-U.S. Gov't --- Old month value: Jun-Jul
Résumé
PURPOSE: The relative contribution of anesthesia costs to total perioperative costs is not known precisely. The goal of this prospective study was to measure the proportion of anesthesia costs relative to total hospital costs of elective laparoscopic cholecystectomy (LC) for in-patients. METHODS: With Institutional approval, the total hospital costs of elective LC for 62 ASA I-III patients were analyzed. All direct and indirect variable costs, including salaries of anesthesia and surgery teams, were obtained for each patient. Data are expressed as mean +/- SEM. RESULTS: Intraoperative anesthesia costs as a percentage of the total hospital costs equaled 10.5 +/- 0.3%. Postanesthesia care unit (PACU) cost was 3.1 +/- 0.2%. The largest hospital cost category was the operating room with 37.4 +/- 0.6%. The costs attributed to the ward equaled 31.3 +/- 3%. Other costs were generated by radiology (6.2 +/- 1.1%), laboratory (5.4 +/- 0.7%), admission unit (3.4 +/- 0.2%), pharmacy (2.0 +/- 0.4%) and administration (0.7 +/- 0.1%). CONCLUSION: Even if salaries are included, anesthesia and PACU costs (13.6%) represent a small portion only of total hospital costs. Cost savings thus may result from improving operating room efficiency and shortening of hospitalisation rather than programs aiming at lowering anesthesia costs.
Mots-clé
Aged Anesthesia/*economics Cholecystectomy, Laparoscopic/*economics Costs and Cost Analysis Female Humans Length of Stay Male Middle Aged Operating Rooms/economics Prospective Studies Recovery Room/economics Surgical Procedures, Elective/economics
Pubmed
Création de la notice
28/01/2008 11:48
Dernière modification de la notice
03/03/2018 21:24
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