Problemy finansowania terapii pozaustrojowej VA-ECMO oraz leczenia chorych w głębokiej przypadkowej hipotermii

2017
journal article
article
dc.abstract.enBackground: Severe accidental hypothermia is defined as a core temperature below 28 Celsius degrees. Within the last years, the issue of accidental hypothermia and accompanying cardiac arrest has been broadly discussed and European Resuscitation Council (ERC) Guidelines underline the importance of Extracorporeal Rewarming (ECR) in treatment of severely hypothermic victims. The study aimed to evaluate the actual costs of ECR with VA-ECMO and of further management in the Intensive Care Unit of patients admitted to the Severe Accidental Hypothermia Centre in Cracow, Poland. Methods: We carried out the economic analysis of 31 hypothermic adults in stage III-IV (Swiss Staging) treated with VA ECMO. Twenty-nine individuals were further managed in the Intensive Care Unit. The actual treatment costs were evaluated based on current medication, equipment, and dressing pricing. The costs incurred by the John Paul II Hospital were then collated with the National Health Service (NHS) funding, assessed based on current financial contract. Results: In most of the cases, the actual treatment cost was greater than the funding received by around 10,000 PLN per patient. The positive financial balance was achieved in only 4 (14%) individuals; other 25 cases (86%) showed a financial loss. Conclusion: Performed analysis clearly shows that hospitals undertaking ECR may experience financial loss due to implementation of effective treatment recommended by international guidelines. Thanks to new NHS funding policy since January 2017 such loss can be avoided, what shall encourage hospitals to perform this expensive, yet effective method of treatment.pl
dc.affiliationWydział Lekarski : Zakład Anestezjologii i Intensywnej Terapiipl
dc.affiliationWydział Lekarski : Instytut Kardiologiipl
dc.affiliationWydział Lekarski : Zakład Dydaktyki Medycznejpl
dc.affiliationWydział Nauk o Zdrowiu : Zakład Ratownictwa Medycznegopl
dc.cm.id83219
dc.contributor.authorKosiński, Sylweriusz - 366012 pl
dc.contributor.authorDarocha, Tomaszpl
dc.contributor.authorJarosz, Annapl
dc.contributor.authorCzerw, Aleksandrapl
dc.contributor.authorPodsiadło, Pawełpl
dc.contributor.authorSanak, Tomasz - 138820 pl
dc.contributor.authorGałązkowski, Robertpl
dc.contributor.authorPiątek, Jacekpl
dc.contributor.authorKonstanty-Kalandyk, Janusz - 152928 pl
dc.contributor.authorZiętkiewicz, Mirosław - 133928 pl
dc.contributor.authorKusza, Krzysztofpl
dc.contributor.authorKrzych, Łukasz J.pl
dc.contributor.authorDrwiła, Rafał - 129257 pl
dc.date.accession2020-12-22pl
dc.date.accessioned2020-12-22T11:59:27Z
dc.date.available2020-12-22T11:59:27Z
dc.date.issued2017pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. 114. Należy cytować anglojęzyczną wersję: Kosiński S, Darocha T, Jarosz A et al. Difficulties in funding of VA-ECMO therapy for patients with severe accidental hypothermia. Anaesthesiol Intensive Ther 2017, vol. 49, no 2, 106–109. doi: 10.5603/AIT.2017.0029pl
dc.description.number2pl
dc.description.physical111-114pl
dc.description.publication0,43pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume49pl
dc.identifier.eissn1731-2515pl
dc.identifier.issn0209-1712pl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/259282
dc.identifier.weblinkhttps://www.termedia.pl/Problemy-finansowania-terapii-pozaustrojowej-VA-ECMO-oraz-leczenia-chorych-w-glebokiej-przypadkowej-hipotermii,144,38989,1,0.htmlpl
dc.languagepolpl
dc.language.containerpolpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa*
dc.rights.licenceCC-BY-NC-SA
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/legalcode.pl*
dc.share.typeotwarte czasopismo
dc.subject.enmembrane oxygenationpl
dc.subject.ensevere hypothermiapl
dc.subject.enfundingpl
dc.subject.ploksygenacja membranowapl
dc.subject.plhipotermia głębokapl
dc.subject.plfinansowaniepl
dc.subtypeArticlepl
dc.titleProblemy finansowania terapii pozaustrojowej VA-ECMO oraz leczenia chorych w głębokiej przypadkowej hipotermiipl
dc.title.alternativeDifficulties in funding of VA-ECMO therapy for patients with severe accidental hypothermiapl
dc.title.journalAnestezjologia, Intensywna Terapiapl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.enpl
Background: Severe accidental hypothermia is defined as a core temperature below 28 Celsius degrees. Within the last years, the issue of accidental hypothermia and accompanying cardiac arrest has been broadly discussed and European Resuscitation Council (ERC) Guidelines underline the importance of Extracorporeal Rewarming (ECR) in treatment of severely hypothermic victims. The study aimed to evaluate the actual costs of ECR with VA-ECMO and of further management in the Intensive Care Unit of patients admitted to the Severe Accidental Hypothermia Centre in Cracow, Poland. Methods: We carried out the economic analysis of 31 hypothermic adults in stage III-IV (Swiss Staging) treated with VA ECMO. Twenty-nine individuals were further managed in the Intensive Care Unit. The actual treatment costs were evaluated based on current medication, equipment, and dressing pricing. The costs incurred by the John Paul II Hospital were then collated with the National Health Service (NHS) funding, assessed based on current financial contract. Results: In most of the cases, the actual treatment cost was greater than the funding received by around 10,000 PLN per patient. The positive financial balance was achieved in only 4 (14%) individuals; other 25 cases (86%) showed a financial loss. Conclusion: Performed analysis clearly shows that hospitals undertaking ECR may experience financial loss due to implementation of effective treatment recommended by international guidelines. Thanks to new NHS funding policy since January 2017 such loss can be avoided, what shall encourage hospitals to perform this expensive, yet effective method of treatment.
dc.affiliationpl
Wydział Lekarski : Zakład Anestezjologii i Intensywnej Terapii
dc.affiliationpl
Wydział Lekarski : Instytut Kardiologii
dc.affiliationpl
Wydział Lekarski : Zakład Dydaktyki Medycznej
dc.affiliationpl
Wydział Nauk o Zdrowiu : Zakład Ratownictwa Medycznego
dc.cm.id
83219
dc.contributor.authorpl
Kosiński, Sylweriusz - 366012
dc.contributor.authorpl
Darocha, Tomasz
dc.contributor.authorpl
Jarosz, Anna
dc.contributor.authorpl
Czerw, Aleksandra
dc.contributor.authorpl
Podsiadło, Paweł
dc.contributor.authorpl
Sanak, Tomasz - 138820
dc.contributor.authorpl
Gałązkowski, Robert
dc.contributor.authorpl
Piątek, Jacek
dc.contributor.authorpl
Konstanty-Kalandyk, Janusz - 152928
dc.contributor.authorpl
Ziętkiewicz, Mirosław - 133928
dc.contributor.authorpl
Kusza, Krzysztof
dc.contributor.authorpl
Krzych, Łukasz J.
dc.contributor.authorpl
Drwiła, Rafał - 129257
dc.date.accessionpl
2020-12-22
dc.date.accessioned
2020-12-22T11:59:27Z
dc.date.available
2020-12-22T11:59:27Z
dc.date.issuedpl
2017
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.additionalpl
Bibliogr. s. 114. Należy cytować anglojęzyczną wersję: Kosiński S, Darocha T, Jarosz A et al. Difficulties in funding of VA-ECMO therapy for patients with severe accidental hypothermia. Anaesthesiol Intensive Ther 2017, vol. 49, no 2, 106–109. doi: 10.5603/AIT.2017.0029
dc.description.numberpl
2
dc.description.physicalpl
111-114
dc.description.publicationpl
0,43
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
49
dc.identifier.eissnpl
1731-2515
dc.identifier.issnpl
0209-1712
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/259282
dc.identifier.weblinkpl
https://www.termedia.pl/Problemy-finansowania-terapii-pozaustrojowej-VA-ECMO-oraz-leczenia-chorych-w-glebokiej-przypadkowej-hipotermii,144,38989,1,0.html
dc.languagepl
pol
dc.language.containerpl
pol
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa
dc.rights.licence
CC-BY-NC-SA
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-sa/4.0/legalcode.pl
dc.share.type
otwarte czasopismo
dc.subject.enpl
membrane oxygenation
dc.subject.enpl
severe hypothermia
dc.subject.enpl
funding
dc.subject.plpl
oksygenacja membranowa
dc.subject.plpl
hipotermia głęboka
dc.subject.plpl
finansowanie
dc.subtypepl
Article
dc.titlepl
Problemy finansowania terapii pozaustrojowej VA-ECMO oraz leczenia chorych w głębokiej przypadkowej hipotermii
dc.title.alternativepl
Difficulties in funding of VA-ECMO therapy for patients with severe accidental hypothermia
dc.title.journalpl
Anestezjologia, Intensywna Terapia
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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