engleski

Cost management of blood transfusion in general and regional anaesthesia techniques at the department of orthopaedics

Purpose/Objective The aim of study was to analyze costs of regional versus general anesthesia techniques through a retrospective study. Using an interdisciplinary approach of cost management in health care institutions, independent financial analysis of costs of surgical procedures and resource utilization was conducted. Materials and Methods 181 patient's medical records were analyzed during different surgical procedures performed under regional or general anesthesia. Data such as duration of operation and anesthesia, total costs of physician and material used during the procedure, as well as anesthesia technique were extracted from the records and elaborated. Results Ratio of regional to general anesthesia was 61%:39% in the observed 4 month period. Average total cost of regional anesthesia operation, calculated from the surgical lists for the observed four month period, was 11, 6€, while average total cost of general anesthesia was 44, 8€. Thereby costs of anesthesia technique were lower (p<0, 01) for regional anesthesia. Both material and medication costs showed statistically and clinically relevant difference, since they were significantly less in regional anesthesia group (p<0, 01). Conclusions Study showed clear economic benefits of regional anesthesia compared with general anesthesia. It was concluded that regional anesthesia indeed does have lower costs than general anesthesia. Great discrepancy between physicians' salary and the salary they actually earn by spending specific amount of time working in the OR suggest poor resource utilization.

transfusion; general; regional; anaesthesia; orthopaedics

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