Hospital cost-categories of pancreaticoduodenectomy.

摘要: Aims : In the era of cost-conscious healthcare, hospitals are focusing on costs. Analysis hospital costs per cost-category may provide indications for potential cost saving measures in pancreaticoduodenectomy (PD). Methods Between January 2004 and June 2005, 109 consecutive patients underwent curative PD a pancreatic or peri-ampullary tumour. Costs were defined different categories each activity centre linked to individual patient via 'bill activities'. Results Postoperative complication rate was 46.8%, postoperative fistula (POPF) 12.8%, mortality 1.8%. The overall median LOS 17 (range 7-52) days. length stay (LOS) significantly (p < 0.0001) between with POPF, those other complications, without complications i.e. 26 (10-36) vs. 21 (8-52) 14 (7-33) days, respectively. Median 10406 (5570-30999) euros. total related 0.0001). increase influenced by hospitalization medical staff costs, but not operation room = 0.233). Conclusion: particular associated increased higher Any measure reduce incidence severity after will save