Efficacy of computed tomography of the head in changing patient care and health costs: a retrospective study
| Autor: | Bahr Al, Hodges Fj rd |
|---|---|
| Rok vydání: | 1978 |
| Předmět: |
medicine.medical_specialty
Time Factors Brain Neoplasms business.industry Retrospective cohort study General Medicine Length of Stay Diagnostic Services Patient care Surgery Cerebrovascular Disorders Health care Emergency medicine Costs and Cost Analysis medicine Humans Radiology Nuclear Medicine and imaging In patient Tomography X-Ray Computed business Head Retrospective Studies Computed tomography of the head |
| Zdroj: | American Journal of Roentgenology. 131:45-49 |
| ISSN: | 1546-3141 0361-803X |
| DOI: | 10.2214/ajr.131.1.45 |
| Popis: | Detailed analysis of all neurologic and neurosurgical admissions at Johns Hopkins Hospital for 6 months prior to the second 6 months after installation of a CT head scanner was undertaken in an attempt to identify the effect CT had on health care decisions, costs, and morbidity. Data showed decreased cost of more than $2,000 per patient and shorter length of stay by 7 days in patients with extracerebral collections, and more than $2,500 and 8 days reduction in patients with tumors after CT was in use. A group matched by computer for age, diagnosis, and physician showed decreased costs of more than $2,000 and shortened stay by more than 3 days per hospitalization. Increased costs were shown in patients with cerebrovascular disease after CT. Change in method of workup with fewer invasive studies for all patients (P less than .001) and significant increases in cost of diagnostic workup were demonstrated (P less than .001). There was no change in morbidity and mortality between the two groups. These data suggest that CT of the head may reduce cost and length of hospitalization in certain patient groups and frequently alters patient workup. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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