Brasel K J, Akason J, Weigelt J A
Department of Surgery, St. Paul-Ramsey Medical Center, University of Minnesota, 55101, USA.
J Trauma. 1998 May;44(5):832-6; discussion 836-8. doi: 10.1097/00005373-199805000-00015.
A dedicated operating room (OR) for urgent trauma cases is suggested by the American College of Surgeons Committee on Trauma as a necessary component of a Level I or II trauma center. We describe a cost analysis of this recommendation.
Two models for staffing urgent trauma cases were constructed. Urgent trauma cases were defined as those taken to the OR within 30 minutes of arrival. In one model the OR was available 24 hours a day with in-hospital personnel. The second model used an out-of-hospital call schedule, assuming a patient-ready OR in 30 minutes. Costs and revenue per urgent case were calculated. A break-even analysis shows the number of cases required for costs to equal revenue.
In the 24-hour model, the cost/urgent case is $14,288; in the call-schedule model $3,243. The number of cases to break even in the 24-hour model is 1210; in the call-schedule model 375.
A call-schedule model is the least costly way to staff an OR for urgent trauma cases.
美国外科医师学会创伤委员会建议设立一个专门用于紧急创伤病例的手术室（OR），作为一级或二级创伤中心的必要组成部分。我们描述了对这一建议的成本分析。
构建了两种为紧急创伤病例配备人员的模式。紧急创伤病例定义为到达后30分钟内被送往手术室的病例。在一种模式中，手术室由医院内部人员全天24小时提供服务。第二种模式采用院外呼叫安排，假设30分钟内准备好手术室。计算了每个紧急病例的成本和收入。盈亏平衡分析显示了成本等于收入所需的病例数量。
在24小时模式中，每个紧急病例的成本为14288美元；在呼叫安排模式中为3243美元。24小时模式中达到盈亏平衡的病例数量为1210例；在呼叫安排模式中为375例。
呼叫安排模式是为紧急创伤病例配备手术室人员成本最低的方式。
