Health economic evaluation of patients with sepsis after gastrointestinal tumor surgery-a cost consequences analysis in China.

Abstract

BACKGROUND:

The purpose of this study was to evaluate the health economics of patients with sepsis after gastrointestinal tumor operation in ICU.

METHODS:

This case-control study used 1:1 propensity-score (PS) matched method and patients were matched according to tumor type, age and gender. The study group was composed of 181 patients with sepsis after operation of gastrointestinal tumor in ICU, while the control group was composed of 181 patients without sepsis after operation of gastrointestinal tumor. The medical expenses and length of stay in the hospital of these patients were analyzed.

RESULTS:

The median of the total hospitalization cost for the study group was $26,038, which was 1.7 times of the control group (P<0.001). The costs of drugs, laboratory test, examination, treatment, operation, anesthesia, materials, ward and other costs in the study group were higher than those in the control group (P<0.001). The median length of stay in the hospital in the study group was 26 days, which were 12 days longer than that of the control group (P<0.001). However, there was no significant difference in daily average cost between the two groups (P=0.103).

CONCLUSIONS:

In ICU, patients with sepsis after operation of gastrointestinal tumor increased the cost of hospitalization and prolonged the length of stay in the hospital than those without sepsis.

• Authors: Ren-Xiong Chen, Zhou-Qiao Wu, Zi-Yu Li, Hong-Zhi Wang, Jia-Fu Ji
• Journal: Journal of gastrointestinal oncology (J Gastrointest Oncol) Vol. 11 Issue 5 Pg. 894-898 (Oct 2020) ISSN: 2078-6891 [Print] China
• PMID: 33209485 (Publication Type: Journal Article)
• Copyright: 2020 Journal of Gastrointestinal Oncology. All rights reserved.