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Titolo:
ENDOVASCULAR AAA TREATMENT - EXPENSIVE PRESTIGE OR ECONOMIC-ALTERNATIVE
Autore:
HOLZENBEIN TJ; KRETSCHMER G; GLANZL R; SCHON A; THURNHER S; WINKELBAUER F; TRUBEL W; MINAR E; AHMADI A; HUK I; INGRUBER H; EHRINGER H; LAMMER J; POLTERAUER P;
Indirizzi:
AKH,DEPT SURG,WAHRINGER GURTEL 18-20 A-1090 VIENNA AUSTRIA VIENNA GEN HOSP,DEPT VASC SURG VIENNA AUSTRIA
Titolo Testata:
European journal of vascular and endovascular surgery
fascicolo: 4, volume: 14, anno: 1997,
pagine: 265 - 272
SICI:
1078-5884(1997)14:4<265:EAT-EP>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
ABDOMINAL AORTIC-ANEURYSMS; MANAGEMENT; GRAFTS; REPAIR; TRIAL; COST;
Keywords:
AORTIC ANEURYSM; ENDOVASCULAR ANEURYSM MANAGEMENT; COST COMPARISON;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
17
Recensione:
Indirizzi per estratti:
Citazione:
T.J. Holzenbein et al., "ENDOVASCULAR AAA TREATMENT - EXPENSIVE PRESTIGE OR ECONOMIC-ALTERNATIVE", European journal of vascular and endovascular surgery, 14(4), 1997, pp. 265-272

Abstract

Objectives: To compare the costs of endovascular aneurysm treatment versus open surgery during the perioperative period. Methods: Retrospective analysis of a consecutive series of 44 patients undergoing infrarenal abdominal aneurysm repair from February 1995 to March 1996 at a university teaching hospital. Results: No endovascular procedure was converted to open repair. Operative time was shorter for endovascular treatment (207.6 min vs. 229.1 min, n.s.), as well as postoperative intensive care unit stay (ICU, 22.7 h vs. 55.0 h, p = 0.017) and the postoperative recovery period (5.6 days vs. 13.3 days, p<0.001). Open surgery generated significantly more costs (25 374.07 ECU vs. 22 268.78 ECU, p<0.001), despite evaluation and a more expensive endovascular procedure (10 699.48 ECU vs. 4032.01 ECU. p<0.001). During the study, costsfor open surgery exceeded the cost for endovascular treatment by 13.95%. Conclusions: Endovascular aneurysm treatment is cost effective andless expensive than open surgery. The main reason for cost saving is faster patient recovery after surgery, associated with a shorter LOS in the patients treated with endovascular procedure.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/07/20 alle ore 22:43:46