医学
围手术期
心胸外科
回顾性队列研究
心脏外科
外科
正电子发射断层摄影术
PET-CT
作者
Lauren T. Gleason,Rongbing Xie,Lauren Wood,Connie Shao,Isabel C. Dos Santos Marques,James M. Donahue,Benjamin Wei,James Davies,Gregory D. Kennedy,Daniel I. Chu
标识
DOI:10.1016/j.amjsurg.2022.04.030
摘要
Patient engagement technologies (PETs) guide patients through perioperative care, but little is known about their costs-benefits.Retrospective cohort study of patients undergoing elective colorectal, cardiac, thoracic surgery 2015-2020. PET was implemented 2018. Patients were propensity-matched in pre-PET, PET, non-PET groups. Costs of surgical encounter and 30 days post-discharge, mortality, length-of-stay, readmissions, complications, satisfaction were compared.Overall, 4,373 patients underwent surgery and 607 (13.9%) patients enrolled in the PET. PET patients did not have increased costs in any specialty. Colorectal PET patients' variable costs of surgical encounter were $102 lower than non-PET, $1495 lower than pre-PET (p = 0.03). Thoracic PET patients' total costs of surgical encounter were $9224 lower than non-PET, $2187 lower than pre-PET (p = 0.03). Thoracic PET patients had lower mean LOS (2.4 days, 5.1 non-PET, 3.1 pre-PET, p = 0.03). PET patient satisfaction ranged 86.0%-97.8%.Use of a PET did not increase costs and was associated with benefits for patients undergoing elective surgery.
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