The impact of open native aortic valve replacement procedure on survival and costs in two hospitals: A multivariate analysis

  1. Vázquez-Mourelle, Raquel 1
  2. Costa, Gonzalo Rivas 1
  3. Carracedo-Martínez, Eduardo 2
  4. Romero, Carmen Canedo 1
  5. Bravo Ricoy, Jose Antonio 1
  1. 1 Deputy Directorate-General. Galician Health Service (Servicio Gallego de Salud SERGAS), Spanish National Health System, Santiago de Compostela, Spain
  2. 2 Santiago de Compostela Health Area, Galician Health Service (Servizo Galego de Saúde - SERGAS). Spanish National Health System, Santiago de Compostela, Spain
Revista:
International Journal of Healthcare Management

ISSN: 2047-9700,  2047-9719

Ano de publicación: 2023

Páxinas: 1-8

Tipo: Artigo

DOI: 10.1080/20479700.2023.2279037 GOOGLE SCHOLAR lock_openAcceso aberto editor

Outras publicacións en: International Journal of Healthcare Management

Resumo

Objective: To compare the survival and costs of native aortic valve replacement by open approach in two hospitals. Methods: We analyzed 1,472 hospital discharges from two hospitals between 2017 and 2021. We followed mean post-operative length of stay and survival at 30 days, one year and five years. The variables under study were sex, age, type of prosthesis, complexity, hospital, cost of the valve, date of intervention, discharge and exitus if present. A bivariate and a multivariate analysis were performed. Results: The two hospitals have baseline characteristics with no significant differences. One of the hospitals had a higher mean unit price, in both biological (96%) and mechanical prostheses (11%) (p1); this higher mortality did not reach statistical significance in the multivariate analysis. In both hospitals, older age was associated with lower survival at one year (HR = 1.299 CI = 1.035–1.630) and at five years (HR = 1.228, 95%CI = 1.023–1.476). Greater complexity is associated with lower survival in all three periods. Conclusions: Higher costs for open aortic heart valves does not lead to better survival outcomes. There is room for improvement in hospital management of these resources. © 2023 Informa UK Limited, trading as Taylor & Francis Group.

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