Clinical Management Support Department, Rikshospitalet University Hospital, 0027 Oslo, Norway.
Eur J Cardiothorac Surg. 2010 Feb;37(2):339-42. doi: 10.1016/j.ejcts.2009.06.059. Epub 2009 Aug 21.
The main objective is to describe and analyse hospital costs of the extracorporeal membrane oxygenation (ECMO) procedure. STUDY SAMPLE AND METHODOLOGY: Between January and December 2007, 14 ECMO patients were consecutively included in the study. Costs at the patient level were registered prospectively, while overhead costs were registered retrospectively. Patient costs were obtained from patient records and time-motion studies and included personnel resources, diagnostic and laboratory tests, radiology and operating room procedures, medication and blood products. Overhead costs were allocated to clinical departments and further to the individual patients by predefined keys. To achieve estimates of total costs, patient-specific costs and patient-specified overhead costs were summarised.
The mean estimated cost for the ECMO procedure was 73,122 USD (SD 34,786) and median 62,545 USD (range: 34,121-154,817). The mean estimated total hospital costs, including pre- and post-ECMO procedures, was 213,246 USD (SD 12,265), median 191,436 USD (range: 59,871-405,497). On average, 82% of costs for the total hospital stay were related to personnel use, and blood products constituted 7%, lab and radiology 2.5%, disposable items 3% and medication 1.5%. The mean duration of an ECMO procedure was 9.5 days (range: 4-23 days) and the average total length of stay in hospital was 51.5 days (range: 6-123 days). The cost data were converted from Norwegian kroner (NOK) to US dollars (USD), with an exchange rate of 1 USD=5.5 NOK.
ECMO procedure is a resource-demanding procedure.
描述和分析体外膜肺氧合（ECMO）程序的医院成本。
2007 年 1 月至 12 月期间，连续纳入 14 名 ECMO 患者进行研究。在患者层面上，前瞻性地记录了成本，而间接成本则是回顾性地记录的。患者成本从患者记录和时间运动研究中获得，包括人员资源、诊断和实验室检查、放射科和手术室程序、药物和血液制品。间接成本分配给临床科室，并通过预定义的键进一步分配给每个患者。为了获得总成本的估计值，对患者特定成本和患者指定的间接成本进行了总结。
ECMO 程序的平均估计成本为 73122 美元（SD 34786），中位数为 62545 美元（范围：34121-154817）。包括 ECMO 前后程序在内的平均估计总住院费用为 213246 美元（SD 12265），中位数为 191436 美元（范围：59871-405497）。平均而言，总住院费用的 82%与人员使用有关，血液制品占 7%，实验室和放射学占 2.5%，一次性用品占 3%，药物占 1.5%。ECMO 程序的平均持续时间为 9.5 天（范围：4-23 天），平均总住院时间为 51.5 天（范围：6-123 天）。成本数据从挪威克朗（NOK）转换为美元（USD），汇率为 1 美元=5.5 NOK。
ECMO 程序是一种资源密集型程序。
