Why the study?
Do postoperative complications increase full in-hospital costs in patients undergoing major surgery?
Population
1200 consecutive patients undergoing major surgery from 2005 to 2008 in a tertiary, high-volume center
Comparison
Postoperative complications vs Uneventful postoperative course (no complications)
Design
Cohort
Follow-up
in-hospital / 30-day
Key result
Postoperative complications dramatically increased full in-hospital costs, rising from a mean of US$ 27,946 for an uneventful course to US$ 159,345 for grade IV complications.
Authors
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Underscores economic priority of complication prevention after major surgery; leaves open causal effects and intervention value in prospective trials.
Cohort (n=1,200)
No
Do postoperative complications increase full in-hospital costs in patients undergoing major surgery?
Absolute Event Rate: 159345% vs 27946%
Postoperative complications dramatically increase in-hospital costs up to 5-fold, highlighting the economic importance of reducing negative postoperative events.
Vonlanthen et al. (2011) conducted a cohort in Major surgery (n=1,200). Postoperative complications vs. Uneventful postoperative course was evaluated on Full in-hospital costs per case. Postoperative complications dramatically increased full in-hospital costs, rising from a mean of US$ 27,946 for an uneventful course to US$ 159,345 for grade IV complications.