open access

Vol 66, No 9 (2008)
Other
Published online: 2008-09-30
Submitted: 2012-12-28
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Original article
Cost-effectiveness of mini-circuit cardiopulmonary bypass in newborns and infants undergoing open heart surgery

Krzysztof Mozol, Ireneusz Haponiuk, Andrzej Byszewski, Bohdan Maruszewski
Kardiol Pol 2008;66(9):925-931.

open access

Vol 66, No 9 (2008)
Other
Published online: 2008-09-30
Submitted: 2012-12-28

Abstract


Background and aim: Miniaturisation of the extracorporeal circuit is a current trend in modern paediatric cardiac surgery. Many investigators stress that reduction of priming volume and artificial surface area of extracorporeal circulation could lead to clinical and economic benefits. The aim of this paper was to evaluate the costs of mini-circuit use in infants undergoing open heart surgery.
Methods: We assessed post-operative course and cost of treatment in 60 infants undergoing open heart surgery. This group was prospectively randomised and divided into 2 equal subgroups: with miniaturised (group M) and conventional cardio pulmonary bypass circuits (group C). The study groups were clinically comparable. Surgical complications, duration of hospitalisation and cost of postoperative treatment were assessed in both groups.
Results: Miniaturisation of the extracorporeal circuit led to a significant reduction of priming volume and artificial surface area (by 46.6% and 68.8% respectively, p=0.0000001). Post-operative cardio-respiratory insufficiency (2 vs. 8, p=0.038), and infection (3 vs. 9, p=0.049) occurred less often in children from group M. Hospital stay was significantly shorter in group M. Total cost of treatment was significantly lower in children from group M (median: 4361.4 vs. 6660.5 €, p=0.037).
Conclusions: Miniaturisation of the extracorporeal circulation significantly improve post-operative outcome in infants undergoing open heart surgery. The mini-circuit significantly reduces cost of treatment in small children undergoing open heart surgery.

Abstract


Background and aim: Miniaturisation of the extracorporeal circuit is a current trend in modern paediatric cardiac surgery. Many investigators stress that reduction of priming volume and artificial surface area of extracorporeal circulation could lead to clinical and economic benefits. The aim of this paper was to evaluate the costs of mini-circuit use in infants undergoing open heart surgery.
Methods: We assessed post-operative course and cost of treatment in 60 infants undergoing open heart surgery. This group was prospectively randomised and divided into 2 equal subgroups: with miniaturised (group M) and conventional cardio pulmonary bypass circuits (group C). The study groups were clinically comparable. Surgical complications, duration of hospitalisation and cost of postoperative treatment were assessed in both groups.
Results: Miniaturisation of the extracorporeal circuit led to a significant reduction of priming volume and artificial surface area (by 46.6% and 68.8% respectively, p=0.0000001). Post-operative cardio-respiratory insufficiency (2 vs. 8, p=0.038), and infection (3 vs. 9, p=0.049) occurred less often in children from group M. Hospital stay was significantly shorter in group M. Total cost of treatment was significantly lower in children from group M (median: 4361.4 vs. 6660.5 €, p=0.037).
Conclusions: Miniaturisation of the extracorporeal circulation significantly improve post-operative outcome in infants undergoing open heart surgery. The mini-circuit significantly reduces cost of treatment in small children undergoing open heart surgery.
Get Citation

Keywords

extracorporeal circulation; paediatric cardiopulmonary bypass; cost analysis

About this article
Title

Original article
Cost-effectiveness of mini-circuit cardiopulmonary bypass in newborns and infants undergoing open heart surgery

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 66, No 9 (2008)

Pages

925-931

Published online

2008-09-30

Bibliographic record

Kardiol Pol 2008;66(9):925-931.

Keywords

extracorporeal circulation
paediatric cardiopulmonary bypass
cost analysis

Authors

Krzysztof Mozol
Ireneusz Haponiuk
Andrzej Byszewski
Bohdan Maruszewski

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