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Impact of complications of myocardial revascularization surgery on expenses during Hospital Stay / Impacto das complicações da cirurgia de revascularização do miocárdio nas despesas durante internação hospitalar
Barbosa, João Luís; Thiers, Clarissa Antunes; Silva, Anderson Ferreira Rolim da; Vianna, Marcos Maia; Gedeon, Paulo Otávio de Paula Ravaglia; Martins Neto, Lauro; Moreira, Marina Brunner Uchôa Dantas; Faria, Luiz Felipe; Tura, Bernardo Rangel.
  • Barbosa, João Luís; Instituto Nacional de Cardiologia. Rio de Janeiro - RJ. BR
  • Thiers, Clarissa Antunes; Instituto Nacional de Cardiologia. Rio de Janeiro - RJ. BR
  • Silva, Anderson Ferreira Rolim da; Universidade Estácio de Sã. Rio de Janeiro - RJ. BR
  • Vianna, Marcos Maia; Universidade Estácio de Sá. Rio de Janeiro - RJ. BR
  • Gedeon, Paulo Otávio de Paula Ravaglia; Universidade Estácio de Sá. Rio de Janeiro - RJ. BR
  • Martins Neto, Lauro; Universidade Estácio de Sá. Rio de Janeiro - RJ. BR
  • Moreira, Marina Brunner Uchôa Dantas; Universidade Estácio de Sá. Rio de Janeiro - RJ. BR
  • Faria, Luiz Felipe; Universidade Estácio de Sá. Rio de Janeiro - RJ. BR
  • Tura, Bernardo Rangel; Instituto Nacional de Cardiologia. Rio de Janeiro - RJ. BR
Int. j. cardiovasc. sci. (Impr.) ; 32(1): 28-34, jan.-fev. 2019. tab
Article in English | LILACS | ID: biblio-981527
ABSTRACT

Background:

Coronary artery bypass grafting (CABG) is an important treatment option for obstructive coronary artery disease, but it represents a high expense for paying sources.The complications of CABG impose an additional expense to the procedure that is not yet clearly established.

Objective:

To determine the economic impact of postoperative complications of CABG during hospitalization in a hospital of the unified health system (SUS).

Methods:

This is an observational study involving 240 patients undergoing isolated CABG in a reference hospital in cardiology in 2013. Patients aged over 30 years with proven coronary artery disease and indication to perform CRVM were included. Patients who performed CRVM associated with other procedures were excluded.

Results:

The average cost of hospitalization was R$ 22,647.24 (SD = R$ 28,105.66). In 97 patients who presented some complication the average cost was R$ 35,400.28 (SD = R$ 40,509.47), and in the 143 patients without complications the average cost was R$ 13,996.57 (SD = R$ 5,800.61) (p < 0.001). Expenditures ranged from R$ 17,344.37 in patients with one complication up to R$ 104,596.52 in patients with five complications (p < 0.001).

Conclusions:

The occurrence of complications during hospitalization for CABG dignificantly increases the costs of the procedure, but the magnitude of this increase depends on the type of complication developed, and higher expenses related to cardiovascular complications, infections and bleeding. With this information, managers can improve the allocation of resources to health
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Full text: Available Index: LILACS (Americas) Main subject: Hospitalization / Myocardial Revascularization Type of study: Health economic evaluation / Observational study / Risk factors Limits: Female / Humans / Male Language: English Journal: Int. j. cardiovasc. sci. (Impr.) Journal subject: Cardiology Year: 2019 Type: Article Affiliation country: Brazil Institution/Affiliation country: Instituto Nacional de Cardiologia/BR / Universidade Estácio de Sá/BR / Universidade Estácio de Sã/BR

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Full text: Available Index: LILACS (Americas) Main subject: Hospitalization / Myocardial Revascularization Type of study: Health economic evaluation / Observational study / Risk factors Limits: Female / Humans / Male Language: English Journal: Int. j. cardiovasc. sci. (Impr.) Journal subject: Cardiology Year: 2019 Type: Article Affiliation country: Brazil Institution/Affiliation country: Instituto Nacional de Cardiologia/BR / Universidade Estácio de Sá/BR / Universidade Estácio de Sã/BR