Health Economic Outcome Research, Medtronic Inc, Mansfield, MA, USA.
Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL 32610, USA.
J Comp Eff Res. 2021 Jul;10(10):831-844. doi: 10.2217/cer-2021-0068. Epub 2021 Apr 27.
Compared with direct laryngoscopy (DL), video laryngoscopy (VL) offers clinical benefits in routine and difficult airways. The health economic benefit of VL versus DL for routine tracheal intubation remains unknown. This analysis compared VL and DL health economic outcomes, including total inpatient costs, length of hospital stay (LOS), postoperative intensive care unit (ICU) admission and incidence of procedurally associated complications. Patients with VL had decreased inpatient cost (US$1144-5891 across eight major diagnostic categories [MDC]); >1-day LOS reduction in five MDC; reduced odds for postoperative ICU admission (0.04-0.68) and reduced odds of respiratory complications in three MDC (0.43-0.90). Video laryngoscopy may lower total costs, reduce LOS and decrease the likelihood of postoperative ICU admission.
与直接喉镜相比，视频喉镜在常规和困难气道中具有临床优势。视频喉镜与直接喉镜在常规气管插管方面的健康经济效益尚不清楚。本分析比较了视频喉镜和直接喉镜的健康经济结果，包括总住院费用、住院时间（LOS）、术后重症监护病房（ICU）入住率和与程序相关的并发症发生率。在八个主要诊断类别中，使用视频喉镜的患者住院费用降低（1144-5891 美元）；五个 MDC 的 LOS 减少超过 1 天；术后 ICU 入住的几率降低（0.04-0.68），三个 MDC 的呼吸并发症发生率降低（0.43-0.90）。视频喉镜可能降低总费用，减少 LOS 并降低术后 ICU 入住的可能性。
