Socio-economic assessment of patient blood management practical implementation in surgical treatment of coronary heart disease (I20-I25)
| Autor: | O. I. Volkova, E. O. Kurilovich, E. Z. Golukhova, A. A. Kupryashov, L. D. Popovich, E. V. Kuksina, G. A. Khicheva |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Blood management Adolescent Anemia Cost-Benefit Analysis Population Coronary Disease 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine medicine Humans Blood Transfusion 030212 general & internal medicine Elective surgery Intensive care medicine education education.field_of_study Health economics Anemia Iron-Deficiency business.industry medicine.disease Comorbidity Years of potential life lost Iron-deficiency anemia Socioeconomic Factors Cardiology and Cardiovascular Medicine business |
| Zdroj: | Kardiologiia. 61(3) |
| ISSN: | 0022-9040 |
| Popis: | Aim To evaluate possible social and economic benefits of correcting preoperative iron deficiency /iron deficiency anemia as a comorbidity in a model population in the process of transition from the routine practice to the optimized preparation of patients to elective surgery (as exemplified by several circulatory diseases: I20 – I25, class IX ICD 10).Material and methods By building imitation models depending on the patient blood management (PBM) practice, changes in years of life lost/saved adjusted for disability were evaluated, including in monetary terms, in relation to the annual number of operations performed for ischemic heart disease (IHD) (I20 – I25) in the age group of 17 years and older, as well as a potential effect of PBM on the applied health economics.Results With implementation of the PBM systemic measures in cardiac surgery, the potentially prevented annual social and economic damage will amount to more than 38 thousand years of life saved and more than 20.2 billion rubles in monetary terms. Furthermore, it will be possible to exclude 9435 hemotransfusion from the cardiosurgical practice, which will annually save more than 2.3 thousand liters of blood with a total cost of 77.7 million rubles in favor of clinical situations that have no alternative.Conclusion The implementation of PBM in cardiac surgery, the discipline with the highest levels of preoperative iron deficiency/anemia and the use of blood components, will not only improve the clinical outcomes and cost-effectiveness of surgical interventions, but will also prevent social and economic damage to the country. |
| Databáze: | OpenAIRE |
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