Academic Journal
Problemy finansowania terapii pozaustrojowej VA-ECMO oraz leczenia chorych w głębokiej przypadkowej hipotermii ; Difficulties in funding of VA-ECMO therapy for patients with severe accidental hypothermia
| العنوان: | Problemy finansowania terapii pozaustrojowej VA-ECMO oraz leczenia chorych w głębokiej przypadkowej hipotermii ; Difficulties in funding of VA-ECMO therapy for patients with severe accidental hypothermia |
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| المؤلفون: | Kosiński, Sylweriusz, Darocha, Tomasz, Jarosz, Anna, Czerw, Aleksandra, Podsiadło, Paweł, Sanak, Tomasz, Gałązkowski, Robert, Piątek, Jacek, Konstanty-Kalandyk, Janusz, Ziętkiewicz, Mirosław, Kusza, Krzysztof, Krzych, Łukasz J., Drwiła, Rafał |
| سنة النشر: | 2017 |
| المجموعة: | Jagiellonian University Repository |
| مصطلحات موضوعية: | oksygenacja membranowa, hipotermia głęboka, finansowanie, membrane oxygenation, severe hypothermia, funding |
| الوصف: | Background: Severe accidental hypothermia is defined as a core temperature below 28 Celsius degrees. Within the last years, the issue of accidental hypothermia and accompanying cardiac arrest has been broadly discussed and European Resuscitation Council (ERC) Guidelines underline the importance of Extracorporeal Rewarming (ECR) in treatment of severely hypothermic victims. The study aimed to evaluate the actual costs of ECR with VA-ECMO and of further management in the Intensive Care Unit of patients admitted to the Severe Accidental Hypothermia Centre in Cracow, Poland. Methods: We carried out the economic analysis of 31 hypothermic adults in stage III-IV (Swiss Staging) treated with VA ECMO. Twenty-nine individuals were further managed in the Intensive Care Unit. The actual treatment costs were evaluated based on current medication, equipment, and dressing pricing. The costs incurred by the John Paul II Hospital were then collated with the National Health Service (NHS) funding, assessed based on current financial contract. Results: In most of the cases, the actual treatment cost was greater than the funding received by around 10,000 PLN per patient. The positive financial balance was achieved in only 4 (14%) individuals; other 25 cases (86%) showed a financial loss. Conclusion: Performed analysis clearly shows that hospitals undertaking ECR may experience financial loss due to implementation of effective treatment recommended by international guidelines. Thanks to new NHS funding policy since January 2017 such loss can be avoided, what shall encourage hospitals to perform this expensive, yet effective method of treatment. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | Polish |
| تدمد: | 0209-1712 1731-2515 |
| Relation: | Anestezjologia, Intensywna Terapia, T. 49, nr 2, s. 111-114; https://ruj.uj.edu.pl/xmlui/handle/item/259282; https://www.termedia.pl/Problemy-finansowania-terapii-pozaustrojowej-VA-ECMO-oraz-leczenia-chorych-w-glebokiej-przypadkowej-hipotermii,144,38989,1,0.html |
| الاتاحة: | https://ruj.uj.edu.pl/xmlui/handle/item/259282 https://www.termedia.pl/Problemy-finansowania-terapii-pozaustrojowej-VA-ECMO-oraz-leczenia-chorych-w-glebokiej-przypadkowej-hipotermii,144,38989,1,0.html |
| Rights: | Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa ; http://creativecommons.org/licenses/by-nc-sa/4.0/pl/legalcode |
| رقم الانضمام: | edsbas.D1D75814 |
| قاعدة البيانات: | BASE |
| تدمد: | 02091712 17312515 |
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