Cost Analysis of Post Operative Pain Management for Surgical Patients using PCA / 기본간호학회지
Journal of Korean Academy of Fundamental Nursing
;
: 137-146, 2013.
Article
in Korean
| WPRIM
| ID: wpr-654257
ABSTRACT
PURPOSE:
The purposes of this study were to identify and compare various types of post operative pain management and the costs for pain management following 4 different types of surgery.METHODS:
Data were collected from 325 medical charts which were extracted from the billing databases of a tertiary hospital and analyzed using numbers, percentages, one way ANOVA, and Scheffe test.RESULTS:
For pain management, 10.5% of patients used PCA only, but the other patients combined other methods with PCA. The average length of PCA use was significantly different by operation. Almost one third (32.9%) of patients experienced at least one of side effects due to analgesics used for pain management, with highest incidence being for nausea and vomiting. For patients who underwent a total abdominal hysterectomy, 34.7% used PCA less than 2 days due to side effects of the analgesics and the ratio of analgesia cost to total hospital cost and total pharmacy cost were highest compared to other operations.CONCLUSION:
The results of this study indicate a need to develop new strategies to more effectively manage postoperative pain to decrease incidences of side effects without increasing medical costs.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pain, Postoperative
/
Pharmacy
/
Vomiting
/
Passive Cutaneous Anaphylaxis
/
Incidence
/
Analgesia, Patient-Controlled
/
Hospital Costs
/
Costs and Cost Analysis
/
Pain Management
/
Tertiary Care Centers
Type of study:
Health economic evaluation
/
Incidence study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of Korean Academy of Fundamental Nursing
Year:
2013
Type:
Article
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