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

Año de publicación: 2023

Páginas: 1-8

Tipo: Artículo

DOI: 10.1080/20479700.2023.2279037 GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: International Journal of Healthcare Management

Resumen

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.

Referencias bibliográficas

  • 10.3390/medsci10020032
  • 10.1016/j.suc.2022.01.008
  • 10.1093/icvts/ivx294
  • Agencia Española de Medicamentos y Productos Sanitarios. IOP Publishing PhysicsWeb 2019. [cited 2023 January 20]. https://www.aemps.gob.es/vigilancia/productosSanitarios/docs/anexo2-vig-prof.pdf.
  • Reglamentos. Reglamento (UE) 2017/745 del Parlamento Europeo y del Consejo de 5 de abril de 2017 sobre los productos sanitarios por el que se modifican la Directiva 2001/83/CE el Reglamento (CE) n.° 178/2002 y el Reglamento (CE) n.° 1223/2009 y por el que se derogan las Directivas 90/385/CEE y 93/42/CEE del Consejo. IOP Publishing PhysicsWeb 2017. https://eur-lex.europa.eu/legal-content/ES/TXT/PDF/?uri = CELEX:32017R0745&from = DA. Accesed 1 June 2022.
  • Boletín Oficial del Estado. Real Decreto 1591/2009 de 16 de octubre por el que se regulan los productos sanitarios. IOP Publishing PhysicsWeb 2009. https://www.boe.es/eli/es/rd/2009/10/16/1591. Accesed 10 June 2022.
  • 10.5935/abc.20180272
  • 10.1093/eurheartj/ehab395
  • 10.1136/bmjsit-2020-000036
  • 10.1016/j.jtcvs.2022.01.016
  • 10.1532/hsf.3531
  • 10.1503/cjs.001121
  • 10.1016/j.jtcvs.2020.05.101
  • 10.21037/jtd.2016.02.74
  • 10.3390/jcm12175645
  • 10.3389/fcvm.2023.1252163
  • Instituto Galego de Estatística. IOP Publishing PhysicsWeb 2022. [cited 2022 June 1]. www.ige.eu.
  • Baltussen RM, Adam T, Tan-Torres Edejer T, et al. Making choices in health: WHO guide to cost-effectiveness analysis. Ginebra: World Health Organization; 2003.
  • Boletín Oficial del Estado. Real Decreto 1277/2003 de 10 de octubre por el que se establecen las bases generales sobre autorización de centros servicios y establecimientos sanitarios. IOP Publishing PhysicsWeb 2003. [cited 2022 June 10]. https://www.boe.es/eli/es/rd/2003/10/10/1277.
  • Ministerio de Hacienda y Función Pública. IOP Publishing PhysicsWeb 2022. [cited 2022 June 26]. https://www.hacienda.gob.es/es-ES/CDI/Paginas/EstabilidadPresupuestaria/InformacionAAPPs/Indicadores-sobre-Gasto-Farmac%C3%A9utico-y-Sanitario.aspx.
  • 10.1111/j.2517-6161.1972.tb00899.x
  • 10.1371/journal.pone.0208578
  • 10.1007/s43999-022-00006-2
  • 10.1016/j.jtcvs.2018.10.146
  • 10.5935/abc.20180272
  • Instituto Nacional de Estadística. IOP Publishing PhysicsWeb 2022. [cited 2022 July 14]. https://www.ine.es/jaxiPx/Datos.htm?path = /t00/ICV/Graficos/dim3/l0/&file = 311G3.px.
  • Recalcar. La atención al paciente con cardiopatía en el Sistema Nacional de Salud. IOP Publishing PhysicsWeb 2021. [cited 2022 February 1]. https://secardiologia.es/images/institucional/sec-calidad/sec-recalcar/RECALCAR_2021_v2.pdf.
  • 10.1161/CIRCULATIONAHA.118.035236