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

Autori
Šakić, Kata ; Pavić, Nika ; Šakić, Livija

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Regional anaesthesia and pain medicine 38(5)(S1) Abstracts and Highlight Papers of the 32rd Annual European Society of Regional Anaesthesia & Pain Therapy (ESRA) Congress 2013 / - , 2013

Skup
Annual European Society of Regional Anaesthesia & Pain Therapy (ESRA) Congress

Mjesto i datum
Glasgow, Ujedinjeno Kraljevstvo, 04.09.2014. - 07.09.2014

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
costs ; cost management ; regional anaesthesia ; general anaesthesia ; orthopaedics

Sažetak
Purpose: The aim of study was to analyze costs of regional versus general anesthesia techniques at hip and knee surgery 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, incidence of moderate hypotension, total costs of physician and material used during the procedure, cost of blood transfusion during surgery 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). Conclusion: Study showed clear economic benefits of regional anesthesia compared with general anesthesia. Compared to general anaesthesia, spinal anaesthesia has several benefits, including less blood loss during surgery due to lower arterial and venous pressure, maintained blood circulation which reduces the rates of deep vein thrombosis and reduced infection rates. 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.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA