Perioperative costs of local or regional anesthesia versus general anesthesia in the outpatient setting: a systematic review of recent literature
Braz. J. Anesth. (Impr.)
;
73(3): 316-339, May-June 2023. tab, graf
Article
Dans Anglais
| LILACS
| ID: biblio-1439605
ABSTRACT
Abstract Background and objectives:
In this systematic review, we carried out an assessment of perioperative costs of local or regional anesthesia versus general anesthesia in the ambulatory setting.Methods:
A systematic literature search was conducted to find relevant data on costs and cost-effectiveness analyses of anesthesia regimens in outpatients, regardless of the medical procedure they underwent. The hypothesis was that local or regional anesthesia has a lower economic impact on hospital costs in the outpatient setting. The primary outcome was the average total cost of anesthesia calculated on perioperative costs (drugs, staff, resources used).Results:
One-thousand-six-hundred-ninety-eight records were retrieved, and 28 articles including 27,581 patients were selected after reviewing the articles. Data on the average total costs of anesthesia and other secondary outcomes (anesthesia time, recovery time, time to home readiness, hospital stay time, complications) were retrieved. Taken together, these findings indicated that local or regional anesthesia is associated with lower average total hospital costs than general anesthesia when performed in the ambulatory setting. Reductions in operating room time and postanesthesia recovery time and a lower hospital stay time may account for this result.Conclusions:
Despite the limitations of this systematic review, mainly the heterogeneity of the studies and the lack of cost-effectiveness analysis, the economic impact of the anesthesia regimes on healthcare costs appears to be relevant and should be further evaluated.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Patients en consultation externe
/
Anesthésie de conduction
Type d'étude:
Évaluation en économique de la santé
/
Revues systématiques évaluées
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
Braz. J. Anesth. (Impr.)
Année:
2023
Type:
Article
Pays d'affiliation:
Suisse
Institution/Pays d'affiliation:
Ospedale Regionale di Lugano/CH
/
Ospedale San Giovanni/CH
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS