Abstract:
:Implementation of a quality improvement bundle for peri-operative management of emergency laparotomy (ELPQuIC) improved mortality in a previous study. We used data from one site that participated in that study to examine whether it was associated with the cost of care. We collected data from 396 patients: 144 before, 144 during and 108 after implementation of the bundle. We estimated costs incurred using previously published methodology based on the time the patient spent in hospital, in the operating theatre and in critical care. Duration of stay in hospital and critical care did not differ between time periods, p = 0.14 and p = 0.28, respectively. The costs per patient and per survivor did not differ between the time periods, p = 0.87 and p = 0.17, respectively. Costs were similar for patients aged < 80 years vs. ≥ 80 years. Implementation of a quality improvement bundle for emergency laparotomy has the capacity to save lives without increasing hospital costs.
journal_name
Anaesthesiajournal_title
Anaesthesiaauthors
Eveleigh MO,Howes TE,Peden CJ,Cook TMdoi
10.1111/anae.13623subject
Has Abstractpub_date
2016-11-01 00:00:00pages
1291-1295issue
11eissn
0003-2409issn
1365-2044journal_volume
71pub_type
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