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May 12, 2011Annals of Surgery

The Impact of Complications on Costs of Major Surgical Procedures

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Key result

Postoperative complications dramatically increased full in-hospital costs, rising from a mean of US$ 27,946 for an uneventful course to US$ 159,345 for grade IV complications.

Why the study?

Do postoperative complications increase full in-hospital costs in patients undergoing major surgery?

Population

1200 consecutive patients undergoing major surgery from 2005 to 2008 in a tertiary, high-volume center

Comparison

Postoperative complications vs Uneventful postoperative course (no complications)

Design

Cohort

Follow-up

in-hospital / 30-day

Authors

RVRené VonlanthenUniversity of BernKSKsenija SlankamenacWestern UniversitySBStefan BreitensteinWinterthur Museum Garden and Library

Discussion

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Implication

Underscores economic priority of complication prevention after major surgery; leaves open causal effects and intervention value in prospective trials.

Study Design

Type

Cohort (n=1,200)

Multicenter

No

Structured PICO

Do postoperative complications increase full in-hospital costs in patients undergoing major surgery?

P
Population
1200 consecutive patients undergoing major surgery (393 complex liver/bile duct surgeries, 110 major pancreas operations, 389 colon resections, and 308 Roux-en-Y gastric bypasses) from 2005 to 2008 in a tertiary, high-volume center
I
Intervention
Postoperative complications (assessed by a validated complication score system)
C
Comparator
Uneventful postoperative course (no complications)
O
Outcome
Full in-hospital costs per case

Main Result

Absolute Event Rate: 159345% vs 27946%

Postoperative complications dramatically increase in-hospital costs up to 5-fold, highlighting the economic importance of reducing negative postoperative events.

Cite This Study

Vonlanthen et al. (2011) conducted a cohort in Major surgery (n=1,200). Postoperative complications vs. Uneventful postoperative course was evaluated on Full in-hospital costs per case. Postoperative complications dramatically increased full in-hospital costs, rising from a mean of US$ 27,946 for an uneventful course to US$ 159,345 for grade IV complications.

synapsesocial.com/papers/6a0cbbd82c3edee53ef26032https://doi.org/10.1097/sla.0b013e31821d4a43
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