Impact of Complications of Myocardial Revascularization Surgery on Expenses During Hospital Stay
Impact of Complications of Myocardial Revascularization Surgery on Expenses During Hospital Stay
Data
2019
Autores
Barbosa, João Luís
Thiers, Clarissa Antunes
Silva, Anderson Ferreira Rolim da
Vianna, Marcos Maia
Gedeon, Paulo Otávio de Paula Ravaglia
Neto, Lauro Martins
Moreira, Marina Brunner Uchôa Dantas
Faria, Luiz Felipe
Tura, Bernardo Rangel
Journal Title
Journal ISSN
Volume Title
Publisher
International Journal of Cardiovascular Sciences
Resumo
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 significantly 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. (Int J Cardiovasc Sci. 2019;32(1)28-34).
Description
Palavras-chave
Myocardial Revascularization/economy, Myocardial Revascularization/complications, Hospital Costs/trends, Hospitalization, Cardiovascular Diseases/economy.
Citação
Barbosa JL, Thiers CA, Silva AFR, Vianna MM, Gedeon POPR, Neto LM, Moreira MBUD, Faria LF, Tura BR. Impact of Complications of Myocardial Revascularization Surgery on Expenses During Hospital Stay. nt. J. Cardiovasc. Sci. 2019 jan-feb; 32:(1). doi: 10.5935/2359-4802.20180083