Marhofer P, Kraus M, Marhofer D
Klinische Abteilung für Anästhesie, allgemeine Intensivmedizin und Schmerztherapie, Medizinische Universität Wien, Spitalgasse 23, 1090, Wien, Österreich.
Institut für Höhere Studien, Wien, Österreich.
Anaesthesist. 2019 Dec;68(12):827-835. doi: 10.1007/s00101-019-00691-8. Epub 2019 Nov 5.
The economic effect is a crucial aspect of every medical procedure. This article analyzes the economic implications of various methods in anesthesia based on three case vignettes.
The management of anesthesia of a forearm fracture with sufficient brachial plexus blockade, general anesthesia and insufficient brachial plexus blockade with subsequent general anesthesia was analyzed with respect to the relevant cost factors (personnel costs, durables, consumables, fixed assets costs, anesthesia-related overhead costs).
Sufficient regional anesthesia was the least expensive method for a forearm fracture with 324.26 €, followed by general anesthesia with 399.18 € (+23% compared with regional anesthesia). Insufficient regional anesthesia was most the expensive method, which necessitated an additional general anesthesia (482.55 €, +49% compared with sufficient regional anesthesia).
Even considering that this cost analysis was calculated based on data from only one medical institution (General Hospital of Vienna, Medical University of Vienna), regional anesthesia appeared to be cost efficient compared with other anesthesia procedures. Main cost drivers in this example were personnel costs.
经济效应是每一项医疗程序的关键方面。本文基于三个病例 vignettes 分析了麻醉中各种方法的经济影响。
针对相关成本因素（人员成本、耐用物品、消耗品、固定资产成本、麻醉相关间接费用），分析了采用充分臂丛神经阻滞的前臂骨折麻醉管理、全身麻醉以及臂丛神经阻滞不足随后进行全身麻醉的情况。
对于前臂骨折，充分区域麻醉是最便宜的方法，费用为324.26欧元，其次是全身麻醉，费用为399.18欧元（与区域麻醉相比增加23%）。区域麻醉不足是最昂贵的方法，这需要额外进行全身麻醉（482.55欧元，与充分区域麻醉相比增加49%）。
即使考虑到该成本分析是基于仅一家医疗机构（维也纳医科大学维也纳总医院）的数据计算得出的，但与其他麻醉程序相比，区域麻醉似乎具有成本效益。在此示例中，主要成本驱动因素是人员成本。
