Estimated costs before, during and after the introduction of the emergency laparotomy pathway quality improvement care (ELPQuIC) bundle.

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

Anaesthesia

journal_title

Anaesthesia

authors

Eveleigh MO,Howes TE,Peden CJ,Cook TM

doi

10.1111/anae.13623

subject

Has Abstract

pub_date

2016-11-01 00:00:00

pages

1291-1295

issue

11

eissn

0003-2409

issn

1365-2044

journal_volume

71

pub_type

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