Biancofiore G, Bindi L, Cellai F, Consani G, Meacci I, Boggi U, Bellini R, Filipponi F, Mosca F, Vagelli A
Azienda Ospedaliera Pisana, Policlinico di Cisanello, Pisa.
Minerva Anestesiol. 1998 Dec;64(12):587-91.
To evaluate anesthesia and Intensive Care Unit (ICU) costs for Orthotopic Liver Transplantation (OLT) through a point by point analysis of the entire process from anesthesia induction to ICU discharge.
Retrospective analysis.
Regional Transplantation Centre participating to the Italian National Health Care System.
Anesthesia and ICU costs for each OLT performed during 1997 were estimated through the analysis of costs of the following categories: drugs, medical and nurse staff, blood bank, radiology, laboratory, haemoderivates.
Forty OLTs were performed in 38 recipients during the study period. The total charges for the anesthesia and ICU management of these patients calculated in US dollars were 583.433,23 (considering the exchange rates valid in January 1998). ICU costs resulted approximately 2.5 times higher than those for anesthesia. Blood bank and drugs were the categories that had the greatest impact on the final expense whereas laboratory had the lowest. The charges referred to medical and nurse staff resulted higher in the ICU than for anesthesia.
The Italian National Health Care System has to deal with limited resources; costs analysis of high-tech procedures as OLT is of basic importance to optimise resources allocation and to enforce money-saving actions.
通过对从麻醉诱导到重症监护病房（ICU）出院的整个过程进行逐点分析，评估原位肝移植（OLT）的麻醉和ICU费用。
回顾性分析。
参与意大利国家医疗保健系统的区域移植中心。
通过分析以下类别的费用，估算1997年期间进行的每例OLT的麻醉和ICU费用：药物、医护人员、血库、放射科、实验室、血液制品。
在研究期间，38例受者进行了40例OLT。以美元计算，这些患者的麻醉和ICU管理总费用为583,433.23美元（考虑1998年1月有效的汇率）。ICU费用约为麻醉费用的2.5倍。血库和药物对最终费用影响最大，而实验室费用最低。ICU中与医护人员相关的费用高于麻醉费用。
意大利国家医疗保健系统必须应对资源有限的问题；对OLT等高技术手术进行成本分析对于优化资源分配和实施节约资金的行动至关重要。
