PMID- 20727285
OWN - NLM
STAT- MEDLINE
DCOM- 20100903
LR  - 20141120
IS  - 1603-6824 (Electronic)
IS  - 0041-5782 (Linking)
VI  - 172
IP  - 33
DP  - 2010 Aug 16
TI  - [Hospital costs for abdominal aortic aneurysm surgery].
PG  - 2206-12
AB  - INTRODUCTION: The aim of the study was to estimate the direct cost of an 
      abdominal aortic aneurysm (AAA) repair and to validate it against the national 
      Diagnostic Related Group (DRG) costs. MATERIAL AND METHODS: Records from involved 
      hospitals were used along with information on wages, cost of ICU and ward time 
      were used to estimate the direct hospital costs including surgery-related costs 
      up to one year after discharge from the vascular department for 75 patients who 
      were consecutively operated for asymptomatic AAA, symptomatic AAA with and 
      without rupture in the period leading up to March 2008. RESULTS: Cost for 
      emergency surgery varied considerably (33,069-2,842,708 DKK). Three outliers were 
      identified. After planned repair, acute repair without and with rupture, the mean 
      costs were 115,551 (95% confidence interval (CI): 96,841; 134,260 DKK), 259,712 
      (95% CI: 128,950; 390,484 DKK) and 436,127 DKK (95% CI: 172,415;669,839 DKK) (p = 
      0.027) and 108,969, 188,571 and 238,088 DKK excluding three extreme outliers, p = 
      0.009)). DRG costs for repair without and with rupture was 100,339 and 98,087 
      DKK, respectively. CONCLUSION: DRG costs are not suitable for cost effectiveness 
      analyses of screening for AAA due to a lack of classification of acute repair 
      without rupture and underestimation of emergency costs.
FAU - Lindholt, Jes S
AU  - Lindholt JS
AD  - Forskningssektionen, Karkirurgisk Afdeling, Regionshospitalet Viborg, 8800 
      Viborg, Denmark. jes.s.lindholt@sygehusviborg.dk
FAU - Sorensen, Jan
AU  - Sorensen J
LA  - dan
PT  - English Abstract
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
TT  - Hospitalsomkostninger ved operation for abdominalt aortaaneurisme.
PL  - Denmark
TA  - Ugeskr Laeger
JT  - Ugeskrift for laeger
JID - 0141730
SB  - IM
CIN - Ugeskr Laeger. 2010 Nov 8;172(45):3124. PMID: 21105204
MH  - Aged
MH  - Aortic Aneurysm, Abdominal/economics/*surgery
MH  - Aortic Rupture/surgery
MH  - Denmark
MH  - *Diagnosis-Related Groups
MH  - Elective Surgical Procedures/economics
MH  - Emergencies
MH  - *Hospital Costs
MH  - Humans
MH  - Intraoperative Care/economics
MH  - Postoperative Care/economics
MH  - Preoperative Care/economics
MH  - Vascular Surgical Procedures/economics
EDAT- 2010/08/24 06:00
MHDA- 2010/09/04 06:00
CRDT- 2010/08/24 06:00
PHST- 2010/08/24 06:00 [entrez]
PHST- 2010/08/24 06:00 [pubmed]
PHST- 2010/09/04 06:00 [medline]
AID - VP03090120 [pii]
PST - ppublish
SO  - Ugeskr Laeger. 2010 Aug 16;172(33):2206-12.