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Annual meeting home program and abstracts registration housing things to do exhibitors & sponsors past & future meetings back to annual meeting program five years of video assisted thoracoscopic surgery (vats) at an academic institution: a retrospective review of cost and complications *sarah lomas, bruce j leavitt, mitchell c.
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Norotsky fletcher allen health care, university of vermont, burlington, vt objective:we reviewed the cost of performing vats at our institution and the additional cost associated with complications.
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Design:irb-approved, retrospective chart review for vats performed over five years setting:562-bed academic medical center, serving one million patients in new england patients:over the past five years, 319 patients underwent vats (table 1).
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The patients' ages ranged from 1. side effects viagra grapefruit juice 5 to 88 years, with the mean age being 50.
4 ± 20 years.
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About 55% of the patients were male.
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Table 1 diagnosis number of patients pneumothorax/hemothorax 87 interstitial lung disease 83 malignant and benign pleural effusions 69 malignant and benign tumors 35 empyema 22 hyperhidrosis 12 other 11 main outcome measures:complicationstotal costamerican society of anesthesiologists (asa) rating results:of the 319 patients identified, 24 suffered complications, the most common being prolonged air leak (n=11).
The median total cost for patients without complications was $9,544, whereas the median total cost for patients with complications was 60% higher at $15,283 (wilcoxon rank-sum test, p=0.
002). viagra 20 mg vs viagra 100mg There were no significant differences between asa rating or age and presence of complications. viagra dosage based body weight Conclusions:howington et. viagra users testimonials Al. where to buy viagra in uk shops Found that vats resulted in decreased operative times and hospital costs, and that the average cost of a vats was $14,795 ± $4,415, which is similar to the range we found at our institution.
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We have shown how the added expense of a complication drives the cost toward the higher end of that range.
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As payments shift away from fee-for-service to flat fees based on admission diagnosis or procedure performed, the presence of a complication detracts from the bottom line.
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It is our duty to deliver quality care in the most cost effective manner possible. Back to annual meeting program © 2012 new england surgical society. All rights reserved.
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