Impacto económico de las fístulas faringocutáneas en pacientes laringectomizados
- Fernández Prada, María
- Gómez Hervás, Javier
- Palomeque Vera, Juan Miguel
- Ruiz Díaz, Pilar
- Casado Fernández, Eloisa
ISSN: 0365-7965
Year of publication: 2013
Tome: 98
Issue: 790
Pages: 147-149
Type: Article
More publications in: Actualidad médica
Abstract
Objective: To analyze the economic impact of hospitalization of patients with fistulas pharyngocutaneous (FFC) as the main adverse event after total laryngectomy between 2006 and 2011 in a secondary hospital. Method: Calculate estimated direct costs generated by the FFC using Diagnosis Related Group (DRG) and cost accounting corporate application Andalusian Health Service (COAN hyd) for those years. Results: Between 2006 and 2011 the cost of all patients was � 3,210,586.9 FFC, unlike � 1,282,708.5 for those who missed out this complication. The individual cost in the study period was � 94.429,0.26 in FFC and � 35,630.777 in those without it. The patients had an increase of 2.66 times in health spending. Conclusion: The occurrence of FFC after laryngectomy involves a high cost for the hospital and healthcare organization. Preventive strategies must be implemented to minimize the economic impact of this adverse event.