Impact of Complications of Myocardial Revascularization Surgery on Expenses During Hospital Stay

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dc.contributor.authorBarbosa, João Luís
dc.contributor.authorThiers, Clarissa Antunes
dc.contributor.authorSilva, Anderson Ferreira Rolim da
dc.contributor.authorVianna, Marcos Maia
dc.contributor.authorGedeon, Paulo Otávio de Paula Ravaglia
dc.contributor.authorNeto, Lauro Martins
dc.contributor.authorMoreira, Marina Brunner Uchôa Dantas
dc.contributor.authorFaria, Luiz Felipe
dc.contributor.authorTura, Bernardo Rangel
dc.date.accessioned2024-11-08T18:29:52Z
dc.date.available2024-11-08T18:29:52Z
dc.date.issued2019
dc.description.abstractBackground: 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).
dc.identifier.citationBarbosa 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
dc.identifier.otherDOI: 10.5935/2359-4802.20180083
dc.identifier.urihttps://dspace.inc.saude.gov.br/handle/123456789/583
dc.language.isoen
dc.publisherInternational Journal of Cardiovascular Sciences
dc.subjectMyocardial Revascularization/economyen
dc.subjectMyocardial Revascularization/complicationsen
dc.subjectHospital Costs/trendsen
dc.subjectHospitalizationen
dc.subjectCardiovascular Diseases/economy.en
dc.titleImpact of Complications of Myocardial Revascularization Surgery on Expenses During Hospital Stay
dc.typeArticle
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