Fenoll Maria Andreu
Rev Enferm. 2015 May;38(5):8-12.
The aim of this study is to evaluate the safety, economic profitability, and cost-effectiveness of the controlled ambient surgical cabin ArcSterile.
Retrospective observational study comparing the profitability of surgical procedures using the ArcSterile* with those using the operating room throughout a 12-month period by analysing the following variables: total number of treated patients, delay in surgical assistance delay and the cost per procedure.
Throughout a 12-month period, a total number of 2011 surgical procedures were performed with the ArcSterile, and 1736 surgical procedures were performed in the conventional operating room. Minor ocular surgeries including chalazia, pterigium, intravitreal injections and others were considered, whereas cataract and vitrectomy surgeries were disregarded. The use of the ArcSterile* was associated with an increase of 14% in the number of surgeries. The cost per hour of the use of the ArcSterile* was 30.75 euro, whereas it was 142.78 euro for the coriventional operating room.
The ArcSterile* may allow to treat more patients and to treat them earlier compared with the conventional operating room, optimizing the use of the latest for patients who need a more complex surgery. We estimated an economic impact of 134 121.39 euro savings during the 12-month period of analysis. The use of the ArcSterile* surgical cabin for outpatient ocularsurgery may represent an effective and efficient alternative to the operating room with many clinical and economic benefits.
本研究旨在评估可控环境手术舱ArcSterile的安全性、经济收益性和成本效益。
回顾性观察研究，通过分析以下变量比较使用ArcSterile进行手术与使用手术室进行手术在12个月期间的收益情况：治疗患者总数、手术辅助延迟时间以及每次手术的成本。
在12个月期间，使用ArcSterile共进行了2011例手术，在传统手术室进行了1736例手术。纳入了包括睑板腺囊肿、翼状胬肉、玻璃体内注射等在内的小型眼部手术，而白内障和玻璃体切除术被排除在外。使用ArcSterile使手术数量增加了14%。使用ArcSterile每小时的成本为30.75欧元，而传统手术室为142.78欧元。
与传统手术室相比，ArcSterile可能使更多患者得到治疗且能更早进行治疗，对于需要更复杂手术的患者可优化资源利用。在分析的12个月期间，我们估计节省了134121.39欧元的经济成本。对于门诊眼部手术，使用ArcSterile手术舱可能是手术室一种有效且高效的替代方案，具有诸多临床和经济效益。
