Division of Pediatric Surgery, Children's Hospital, London Health Sciences Center, London, Ontario, Canada.
Department of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
Laryngoscope. 2020 Jan;130(1):242-246. doi: 10.1002/lary.27840. Epub 2019 Feb 5.
Minor pediatric surgeries performed in the minor procedure room (MPR) may be more time efficient and less costly compared to those performed in the operating room (OR).
Retrospective review.
This was a retrospective study on cost and efficiency differences of bilateral myringotomy with tube insertions performed in the MPR versus the OR. Charts were reviewed from June 2015 to May 2017. Cost data was based on supply cost and case costing of medical personnel including nurses, aides, and anesthesia assistants.
Two hundred eighteen patients were included in the study. The median age was 2.7 years (range: 0.8-16.7), and there were no differences in gender between locations. One hundred twenty-three patients had surgery in the MPR (56.4%), and 95 had surgery in the OR (43.6%). The median length of time in the procedure room was 11 minutes shorter for patients who underwent surgery in the MPR (12.0 minutes, range: 3.0-33.0) compared to patients in the OR (23.0 minutes, range: 11.0-52.0; P < .0001). Median hospital stay (2.0 hours vs. 4.3 hours; P < 0.0001) and median patient turnover time (6.0 minutes vs. 14.0 minutes; P < .0001) was shorter in the MPR compared to OR. The total overall cost of a myringotomy with tube insertion, including labor and supply cost, was $189.41 in the MPR compared to $468.56 in the OR, a difference of $279.15 per case.
Bilateral myringotomy with tube insertions are more time and cost-efficient when performed in the MPR. This study supports the need for increased availability of MPR time for appropriate surgeries.
3 Laryngoscope, 130:242-246, 2020.
与在手术室（OR）相比，在小手术室（MPR）进行的小儿小手术可能更省时、更省钱。
回顾性研究。
这是一项关于在 MPR 与 OR 行双侧鼓膜切开并置管术的成本和效率差异的回顾性研究。对 2015 年 6 月至 2017 年 5 月的病历进行了回顾。成本数据基于供应成本和包括护士、助手和麻醉助理在内的医务人员的病例成本。
本研究共纳入 218 例患者。中位年龄为 2.7 岁（范围：0.8-16.7），不同部位的性别无差异。123 例患者在 MPR 行手术（56.4%），95 例患者在 OR 行手术（43.6%）。在 MPR 行手术的患者手术时间中位数比在 OR 行手术的患者短 11 分钟（12.0 分钟，范围：3.0-33.0 分钟）（P<0.0001）。MPR 组的中位住院时间（2.0 小时）比 OR 组短（4.3 小时；P<0.0001），患者周转时间（6.0 分钟）比 OR 组短（14.0 分钟；P<0.0001）。MPR 组和 OR 组的总成本（包括劳动力和供应成本）分别为每例 189.41 美元和 468.56 美元，差异为 279.15 美元。
在 MPR 行双侧鼓膜切开并置管术更省时、更省钱。本研究支持增加 MPR 时间以进行适当手术的必要性。
3 级喉镜，130：242-246，2020 年。
