Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Predictors of cost of liver transplantation in children: A single center study
Autore:
Bucuvalas, JC; Ryckman, FC; Atherton, H; Alonso, MP; Balistreri, WF; Kotagal, U;
Indirizzi:
Childrens Hosp Res Fdn, Dept Pediat Surg, Div Gastroenterol & Nutr, Cincinnati, OH 45229 USA Childrens Hosp Res Fdn Cincinnati OH USA 45229 , Cincinnati, OH 45229 USA Childrens Hosp Res Fdn, Pediat Liver Care Ctr, Div Hlth Policy & Clin Effectiveness, Cincinnati, OH 45229 USA Childrens Hosp Res Fdn Cincinnati OH USA 45229 , Cincinnati, OH 45229 USA
Titolo Testata:
JOURNAL OF PEDIATRICS
fascicolo: 1, volume: 139, anno: 2001,
pagine: 66 - 74
SICI:
0022-3476(200107)139:1<66:POCOLT>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
RESOURCE UTILIZATION; IMPACT; COMPLICATIONS; THERAPY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
28
Recensione:
Indirizzi per estratti:
Indirizzo: Bucuvalas, JC Childrens Hosp, Med Ctr, Div Gastroenterol & Nutr, OSB-4,3333 Burnet Ave, Cincinnati, OH 45229 USA Childrens Hosp OSB-4,3333 Burnet AveCincinnati OH USA 45229
Citazione:
J.C. Bucuvalas et al., "Predictors of cost of liver transplantation in children: A single center study", J PEDIAT, 139(1), 2001, pp. 66-74

Abstract

Objective: Efforts to decrease the cost of orthotopic liver transplantation (OLT) must address the impact of specific interventions on clinical outcome. We hypothesized that an intervention designed to decrease the length ofhospitalization would reduce costs without jeopardizing clinical outcome. We further sought to identify predictors of length of stay and cost for hospitalization after liver transplantation. Methods: The study group included 47 children who underwent OLT from September 1996 to April 1999, and the control group included 36 children who underwent OLT from March 1994 to August 1996. The intervention was a transition to home program in which patients were discharged to a family living center when they met established clinical criteria and their families met predefined educational goals. We analyzed patients who survived 3 months after OLT. Results: For the intervention group, the mean length of stay, total costs,and surgical costs were 29%, 36%, and 34% lower, respectively. Organ type,height; score, race, hepatic artery thrombosis, early allograft rejection,and participation in the transition to home program predicted length of stay and total costs. Conclusion: An early discharge program based on defined criteria can be used to decrease length of stay and cost after OLT without jeopardizing clinical outcome.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/12/20 alle ore 03:09:52