| کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
|---|---|---|---|---|
| 2978958 | 1578589 | 2016 | 4 صفحه PDF | دانلود رایگان |
کلمات کلیدی
روش ها
طراحی مطالعه
روش جراحی
آنالیزهای آماری
نتایج
متغیرهای پیش از عمل
هزینه های جراحی، پس از جراحی و هزینه های کلی ترمیم دریچه میترال
نتایج مرتبط با ترمیم دریچه میترال بر پایه روش های موجود
جدول 1. نتایج پس از جراحی پس از ترمیم دریچه میترال، طبقه بندی شده بر اساس روش جراحی
بحث
نتیجه گیری
ObjectiveMitral valve surgery is increasingly performed through minimally invasive approaches. There are limited data regarding the cost of minimally invasive mitral valve surgery. Moreover, there are no data on the specific costs associated with mitral valve surgery. We undertook this study to compare the costs (total and subcomponent) of minimally invasive mitral valve surgery relative to traditional sternotomy.MethodsAll isolated mitral valve repairs performed in our health system from March 2012 through September 2013 were analyzed. To ensure like sets of patients, only those patients who underwent isolated mitral valve repairs with preoperative Society of Thoracic Surgeons scores of less than 4 were included in this study. A total of 159 patients were identified (sternotomy, 68; mini, 91). Total incurred direct cost was obtained from hospital financial records.ResultsAnalysis demonstrated no difference in total cost (operative and postoperative) of mitral valve repair between mini and sternotomy ($25,515 ± $7598 vs $26,049 ± $11,737; P = .74). Operative costs were higher for the mini cohort, whereas postoperative costs were significantly lower. Postoperative intensive care unit and total hospital stays were both significantly shorter for the mini cohort. There were no differences in postoperative complications or survival between groups.ConclusionsMinimally invasive mitral valve surgery can be performed with overall equivalent cost and shorter hospital stay relative to traditional sternotomy. There is greater operative cost associated with minimally invasive mitral valve surgery that is offset by shorter intensive care unit and hospital stays.
Journal: The Journal of Thoracic and Cardiovascular Surgery - Volume 151, Issue 2, February 2016, Pages 385–388