The Cost of Surgically Treated Severe Odontogenic Infections: A Retrospective Study Using Severity Scores

2022 ◽  
Author(s):  
Timothy W. Neal ◽  
Yousef Hammad ◽  
Brian R. Carr ◽  
Thomas Schlieve
Keyword(s):  
Retrospective Study ◽  
Odontogenic Infections ◽  
Severity Scores ◽  
The Cost

scholarly journals The Cost of a Day Bed and Patient Day in the Ear, Nose, and Throat Wards of a Teaching Hospital and a Private Hospital in Yazd City

2020 ◽  
Author(s):  
Mohsen Pakdaman ◽  
Sajjad Bahariniya ◽  
Sara Gravandi ◽  
Mohammad Zarezadeh ◽  
Mahdieh Khaleghi Muri
Keyword(s):  
Retrospective Study ◽  
Cost Analysis ◽  
Teaching Hospital ◽  
Private Hospital ◽  
Management Tool ◽  
Bed Occupancy ◽  
Close Attention ◽  
Yazd City ◽  
The Cost ◽  
Nose And Throat

Background: Cost analysis is a management tool that helps the researchers to identify and manage high costs. The purpose of the present study was to calculate the cost of day bed and patient bed in the ear, nose, and throat departments of a teaching hospital and a private hospital in Yazd City, Iran. Methods: The present descriptive, analytical, and retrospective study was conducted in the ear, nose, and throat departments of a teaching hospital and a private hospital in Yazd in 2016. Data were collected by studying the relevant documents and checklists. Data were analyzed using Excel software. Results: The costs of day bed occupancy were calculated as 7286715 rials and 2386715 rials in the ear, nose, and throat departments of the private and educational hospitals, respectively. The cost of a private hospital day bed was much higher than that of a training hospital considering the tariff approved in 2016. Income per patient per day was obtained as 2204643 rials in educational hospital and 1500130 rials in the private hospital. The income per patient per day was higher in the teaching hospital than the private hospital. Conclusion: Hospitals should have a precise financial system in order to manage the day bed pricing based on the final costs and have realistic day bed costs. Given the high cost of staffing, hospitals should pay close attention to control these costs. Hospitals also need to adopt appropriate processes to consume the consumables logically and reduce their costs.

scholarly journals Clinical and economic burden of psoriasis: a retrospective study of the cost implications among cohorts in Abuja, Nigeria

2020 ◽  
Vol 6 (4) ◽  
pp. 443
Author(s):  
Bob A. Ukonu ◽  
Perpetua U. Ibekwe
Keyword(s):  
Retrospective Study ◽  
Economic Burden ◽  
Severe Psoriasis ◽  
Clinical Severity ◽  
Inflammatory Disorder ◽  
Hospital Data ◽  
Psoriasis Area Severity Index ◽  
Pasi Score ◽  
Cost Implications ◽  
The Cost

<p class="abstract"><strong>Background:</strong> Psoriasis is a common chronic cutaneous inflammatory disorder of the skin which presents as sharply demarcated scaly erythematous papules or plaques. The level of its clinical severity at presentation largely determines the cost implications and economic burden on the patient. The study aimed to determine the direct cost of treating various clinical severity of psoriasis and its economic consequences to our healthcare system.</p><p class="abstract"><strong>Methods:</strong> This is a retrospective study that was conducted between May 2016 and October 2019 at the Dermatology Unit of University of Abuja Teaching Hospital. Data was retrieved from patient’s folder into a designed proforma, noting their biodata, clinical level of severity using psoriasis area severity index (PASI) score, amount of money spent on drugs, laboratory test, nursing time and consultation fees. <strong></strong></p><p class="abstract"><strong>Results:</strong> Out of 82 psoriasis patients seen during the study period, 66 fulfilled the inclusion criteria. About 51.5% of them had severe psoriasis with a mean PASI score 33.2. The annual cost of treating mild, moderate and severe psoriasis was N198,900.00, N261,633.00 and N323,708.00 respectively. This accounted for 1.77% of the national annual healthcare spending within the years under review.</p><p class="abstract"><strong>Conclusions:</strong> The cost of treating psoriasis and its economic burden is largely determined by the level of its clinical severity.</p>

scholarly journals Laparoscopic versus open appendectomy retrospective study

2017 ◽  
Vol 4 (3) ◽  
pp. 620
Author(s):  
Haitham S. Rbihat ◽  
Khaled M. Mestareehy ◽  
Mohammad S. Al lababdeh ◽  
Talal M. Jalabneh ◽  
Mohammad E. Aljboor ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Postoperative Pain ◽  
Laparoscopic Appendectomy ◽  
Open Appendectomy ◽  
Advantages And Disadvantages ◽  
Abdominal Abscesses ◽  
Zero Rate ◽  
The Mean ◽  
The Cost ◽  
Mean Time

Background: Laparoscopic cholecystectomy is taken into account as a standard method of performing cholecystectomy and has substituted the old method throughout the world, while laparoscopic appendectomy still not attaining that reputation. In this paper, a retrospective study was done to compare between both laparoscopic and open appendectomy.Methods: Two hundred eighty-five patients were analyzed after appendectomy using either open or laparoscopic procedures. The data was compared over a period of 36 months. Surgical technique was the same among 6 surgeons, standard postoperative care for all patient groups. The outcome measures included comparing of mean operative time, days of hospitalization, postoperative pain and rate of wound infection.Results: Concerning open appendectomy the mean time was 28 minutes with 2 days of hospitalization. The postoperative pain extent was for 36 hours and rate of wound infection was 8/159. While in laparoscopic appendectomy the mean time was 55 minutes with one day hospitalization. The postoperative pain was for 12 hours and zero rate of wound infection.Conclusions: In general laparoscopy has plenty of gains over open surgery as discussed before but laparoscopic appendectomy is not easier, nor does it avoid general anesthesia. The cost for laparoscopic appendectomy is higher than for open appendectomy. The operative and post-operative complications are more critical (e.g.: intra-abdominal abscesses & perforation of bowel) as compared to open appendectomy. We have to assess the advantages and disadvantages, indications and contraindications when taking a decision for laparoscopic surgery. We suppose it would be very early to say that laparoscopic appendectomy is superior or can replace open appendectomy.

Efficacy, safety, and cost-effectiveness (CE) analysis of pegfilgrastim (P) and lenograstim (L) in patients (pts) with nonmetastatic breast cancer (nmBC) receiving myelosuppressive chemotherapy (mCT).

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. e19620-e19620
Author(s):  
Anselmo Papa ◽  
Luigi Rossi ◽  
Federica Tomao ◽  
Fabio Ricci ◽  
Erika Giordani ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Retrospective Study ◽  
Cost Effectiveness ◽  
Absolute Neutrophil Count ◽  
Neutrophil Count ◽  
Bone Pain ◽  
Single Injection ◽  
Numerical Rate Scale ◽  
Myelosuppressive Chemotherapy ◽  
The Cost

e19620 Background: Neutropenia (N) is common in pts who receive mCT. This retrospective study was conducted to determine efficacy, safety and cost of single injection of P (6 mg) compared with daily L (263 μg), in primary prophilaxis of N in pts affected by nmBC, who received mCT. Methods: 50 women (median age 54 years) underwent to median 6 (range 4–8) CT doses with antracyclines +/- taxanes. At every cycle, 28 pts received daily L (median 5 injections from day 5 to 9), while 22 pts received one dose of P on day 2. Absolute neutrophil count, incidence of G3/G4-N, bone pain (BP: Numerical Rate Scale >7) and CE analysis were evaluated. Results: In overall population (OP) incidence of G3-N and G4-N was 25% and 68%, respectively in L vs 22.7% and 41%, respectively in P; two cases (7%) of febrile N (FN) occurred in pts treated with L and three cases (13.6%) of FN in P. In 19 pts treated with FEC100 (10 pts L vs 9 pts P) we observed 0% of G3-N and 30% of G4-N in L while 33% of G3-N and 44% of G4-N in P. 31 pts received TAC/AC+T (18 pts L vs 13 pts P) with G3-N and G4-N 38.8% and 66.6%, respectively in L vs 15.3% and 30.7%, respectively in P. 18.2% of pts, who received P, had BP vs 35.7% in L. Reduction of CT doses was observed in 35.7% in L vs 41% in P. In Italy the cost of 1 injection of P was about 1489,00 euro compared with about 655,00 euro for 5 injections of L. Conclusions: In our experience, 1 injection of P was more effective and expensive than 5 daily administration of L to control N in OP and in particular in TAC/AC+T, while in FEC100, L was satisfactory with good CE profile. No difference about incidence of NF. Safety of P and L were similar with a lower incidence of BP in P.

Modified Seldinger technique for neonatal epicutaneo-caval catheter insertion: A non-randomised retrospective study

2021 ◽  
pp. 112972982110546
Author(s):  
Jack JC Gibb ◽  
Rachael MacLeod ◽  
Liam Mahoney ◽  
Ziju Elanjikal
Keyword(s):  
Retrospective Study ◽  
Group Analysis ◽  
Blood Stream ◽  
Central Line ◽  
Seldinger Technique ◽  
Success Rates ◽  
Logrank Test ◽  
Needle Technique ◽  
Insertion Method ◽  
The Cost

Background: Epicutaneo-Caval Catheters (ECCs) are critical for good neonatal care. No previous studies have evaluated which insertion method provides the highest likelihood of success. Methods: This study aimed to compare the success rates and cost of modified Seldinger technique (MST) and split needle technique (SNT). MST was introduced to St Michael’s Neonatal Unit, SNT was already in use. Routinely documented data on ECC insertion was retrospectively collected from the clinical notes. Practitioners were able to use their preferred insertion method. A sub-group analysis of success rates in patients born at ⩾35-weeks GA was performed. Results: There was a significantly higher first pass (53% vs 26%; p = 0.014) and overall (72% vs 40%; p = 0.0046) successful ECC insertion rate with fewer venipunctures per successful ECC with MST (2.5 vs 6.5; p = 0.002). Logrank test demonstrated a significantly higher successful ECC insertion with MST for patients of all GA ( p = 0.003) and for neonates born at ⩾35 weeks ( p = 0.015). The cost per successful MST ECC was £156.41 versus £152.51 for SNT. Conclusion: In this uncontrolled retrospective study, there was a higher chance of successful ECC insertion with MST, with a reduced number of venipunctures and similar costs per successful ECC. Further work in randomised studies is needed to verify this finding and should focus on other clinical outcomes, including rates in central line associated blood stream infections.

scholarly journals Comparison of severity scores for COVID-19 patients with pneumonia: a retrospective study

2020 ◽  
Vol 56 (3) ◽  
pp. 2002113 ◽  
Author(s):  
Guohui Fan ◽  
Chao Tu ◽  
Fei Zhou ◽  
Zhibo Liu ◽  
Yeming Wang ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Severity Scores

scholarly journals A retrospective study of suspected pyometra causing systemic illness in 348 dogs

2020 ◽  
Vol 19 (2) ◽  
pp. 141-152
Author(s):  
Surapa Rungphattanachaikul ◽  
◽  
Areerath Akatvipat ◽  
Michael Pheng Chuan Chia ◽  
Kannika Na Lampang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Mortality Rate ◽  
Treatment Outcomes ◽  
Mortality Factor ◽  
Hospital Treatment ◽  
Improve Treatment ◽  
Operative Planning ◽  
Time Periods ◽  
The Cost

A retrospective study was used to investigate the prevalence, mortality rate, treatment outcomes, risk factors for death, and accompanying costs for canine pyometra cases reported in 2016 to 2018 from a single vet teaching hospital in Thailand. The prevalence of canine pyometra was 375 cases from 35,138 of canine outpatients (1.07%) with 348 cases undergoing surgery at the hospital. Mongrel dogs were most affected (37.33%) followed by Poodles (14.67%) and Shih Tzus (12.27%). The median age of pyometra cases was 7 years (range of 11 months to 16 years). The mortality rate was 10.63 % (37/ 348 dogs). Mortalities occurred in 3 dogs prior to surgery. Post-operative mortalities were reported in 24 dogs, and 10 dogs with undefined time periods. The main contributing mortality factor was uterine rupture (adjusted OR 7.38 (95% CI =2.73,19.93)). The cost of hospital treatment per case ranged between 93 to 939 United States Dollars. Surgical ovariohysterectomy is an effective treatment and preventative procedure for pyometra. Comprehensive and careful pre-operative and sufficient post-operative planning is recommended to improve treatment outcomes.

Sign in / Sign up

Export Citation Format

Share Document