Impact of postoperative complications on clinical and economic consequences in pancreatic surgery

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F60162694%3AG44__%2F16%3A43875651" target="_blank" >RIV/60162694:G44__/16:43875651 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216208:11150/16:10330728 RIV/00179906:_____/16:10330728

Výsledek na webu

<a href="https://synapse.koreamed.org/DOIx.php?id=10.4174/astr.2016.90.1.21" target="_blank" >https://synapse.koreamed.org/DOIx.php?id=10.4174/astr.2016.90.1.21</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.4174/astr.2016.90.1.21" target="_blank" >10.4174/astr.2016.90.1.21</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Impact of postoperative complications on clinical and economic consequences in pancreatic surgery

Popis výsledku v původním jazyce

Purpose: Patients who develop complications consume a disproportionately large share of available resources in surgery; therefore the attention of healthcare funders focuses on the economic impact of complications. The main objective of this work was to assess the clinical and economic impact of postoperative complications in pancreatic surgery, and furthermore to assess risk factors for increased costs. Methods: In all, 161 consecutive patients underwent pancreatic resection. The costs of the treatment were determined and analyzed. Results: The overal morbidity rate was 53.4%, and the in-hospital mortality rate was 3.7%. The median of costs for all patients without complication was 3,963 Euro, whereas the median of costs for patients with at least one complication was significantly increased at 10,670 Euro [P < 0.001]. In multivariate analysis American Society of Anesthesiologists GREATER-THAN OR EQUAL TO 3 [P = 0.006], multivisceral resection [P < 0.001] and any complication [P < 0.001]. were independently associated with increased costs. Conclusion: Postoperative complications are associated with an increase in mortality, length of hospital stay, and hospital costs. The treatment costs increase with the severity of the postoperative complications. Those factors that are known to increase the treatment costs in pancreatic resection should be considered when planning patients for surgery.

Název v anglickém jazyce

Impact of postoperative complications on clinical and economic consequences in pancreatic surgery

Popis výsledku anglicky

Purpose: Patients who develop complications consume a disproportionately large share of available resources in surgery; therefore the attention of healthcare funders focuses on the economic impact of complications. The main objective of this work was to assess the clinical and economic impact of postoperative complications in pancreatic surgery, and furthermore to assess risk factors for increased costs. Methods: In all, 161 consecutive patients underwent pancreatic resection. The costs of the treatment were determined and analyzed. Results: The overal morbidity rate was 53.4%, and the in-hospital mortality rate was 3.7%. The median of costs for all patients without complication was 3,963 Euro, whereas the median of costs for patients with at least one complication was significantly increased at 10,670 Euro [P < 0.001]. In multivariate analysis American Society of Anesthesiologists GREATER-THAN OR EQUAL TO 3 [P = 0.006], multivisceral resection [P < 0.001] and any complication [P < 0.001]. were independently associated with increased costs. Conclusion: Postoperative complications are associated with an increase in mortality, length of hospital stay, and hospital costs. The treatment costs increase with the severity of the postoperative complications. Those factors that are known to increase the treatment costs in pancreatic resection should be considered when planning patients for surgery.

Druh

J_x - Nezařazeno - Článek v odborném periodiku (Jimp, Jsc a Jost)

CEP obor

FJ - Chirurgie včetně transplantologie

OECD FORD obor

—

Projekt

—

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2016

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Annals of Surgical Treatment and Research

ISSN

2288-6575

e-ISSN

—

Svazek periodika

90

Číslo periodika v rámci svazku

1

Stát vydavatele periodika

KR - Korejská republika

Počet stran výsledku

8

Strana od-do

21-28

Kód UT WoS článku

000367764900004

EID výsledku v databázi Scopus

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