Key result
Open surgical repair for asymptomatic abdominal aortic aneurysm resulted in a 30-day mortality of 4.44%, an in-hospital complication rate of 35.56%, and a mean overall cost of €21,622.59 per patient.
Observational (n=90)
Yes
Open surgical repair of asymptomatic AAA in Spain is associated with a mean cost of €21,622.59 per patient and a 35.56% in-hospital complication rate.
Answers are grounded in this paper and cite their sources.
Substantial costs and complications with open AAA repair should not yet change practice; extends real-world data but leaves comparative effectiveness open.
OBJECTIVE: Abdominal aortic aneurysm (AAA) is a chronic, progressive disease that often requires surgical repair. This study aimed to assess the healthcare costs and clinical outcomes of open AAA repair in Spain. METHOD: Observational, retrospective, multicenter study with a one-year follow-up. Healthcare resource use and costs related to the surgical procedure, hospital stay, and follow-up period were assessed. RESULTS: Ninety patients with asymptomatic AAA who underwent open repair were recruited between 2003 and 2009 at three Spanish hospitals. Four patients (4.44%) died in the first 30 postoperative days. Mean [standard deviation] procedure time was 292.83 [72.10] minutes and mean hospital length of stay was 11.44 days [5.42]. Thirty two patients (35.56%) presented in-hospital complications and three patients (3.45%) underwent re-intervention during follow-up. The mean overall cost per patient during the study period was €21,622.59, of which 42.40% (€9,168.19), 52.08% (€11,261.74), and 5.52% (€1,192.66) corresponded to the surgical procedure, the inpatient stay, and the study follow-up period, respectively. CONCLUSIONS: Given the economic burden imposed by the treatment of patients admitted with AAA on the Spanish health system, additional efforts comparing the cost of open repair with endovascular treatments are needed to ensure greater efficiency.
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Egea et al. (2018) conducted an observational in Abdominal aortic aneurysm (n=90). Open AAA repair was evaluated on Healthcare costs and clinical outcomes. Open surgical repair for asymptomatic abdominal aortic aneurysm resulted in a 30-day mortality of 4.44%, an in-hospital complication rate of 35.56%, and a mean overall cost of €21,622.59 per patient.
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