Prunoiu Virgiliu Mihail, Marincaş Marian Augustin, Ionescu Sânziana, Brătucu Eugen
Chirurgia (Bucur). 2017 Nov-Dec;112(6):683-689. doi: 10.21614/chirurgia.112.6.683.
Rising costs in health care are of progressively growing interest and a major factor affecting hospitalization costs is represented by postoperative complications. Complications of Major Abdominal Surgery (MAS) are associated with increased morbidity and mortality. This study estimates the costs of postoperative care associated with complications. Material and We performed a retrospective study on 254 patients admitted to the 1st General and Oncological Surgery Clinic of the Bucharest Oncology Institute who were submitted to MAS. The total hospitalization, complications and treatment costs were analysed. For a patient undergoing MAS, the average costs for surgery without complications are 5,791.3 RON and reach an average of 20,806 RON after major complications.
The results provide insight into the costs of hospitalization for oncology patients submitted to surgical interventions. Complications occur in 20.86% of patients undergoing MAS and account for 50% of total care costs. Establishing and implementing a protocol aimed at early diagnosis and treatment of specific complications could lead to a decrease in morbidity and mortality, as well as of the costs of hospitalization.
医疗保健费用不断上涨日益受到关注，术后并发症是影响住院费用的一个主要因素。腹部大手术（MAS）的并发症与发病率和死亡率增加相关。本研究估算与并发症相关的术后护理费用。
我们对布加勒斯特肿瘤研究所第一普通外科和肿瘤外科诊所收治的254例行腹部大手术的患者进行了一项回顾性研究。分析了总住院费用、并发症及治疗费用。对于接受腹部大手术的患者，无并发症手术的平均费用为5791.3罗马尼亚列伊，出现严重并发症后平均费用达到20806罗马尼亚列伊。
研究结果为接受手术干预的肿瘤患者的住院费用提供了见解。腹部大手术患者中20.86%会出现并发症，且并发症占总护理费用的50%。制定并实施旨在早期诊断和治疗特定并发症的方案可能会降低发病率和死亡率以及住院费用。
