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Problemy finansowania terapii pozaustrojowej VA-ECMO oraz leczenia chorych w głębokiej przypadkowej hipotermii
Difficulties in funding of VA-ECMO therapy for patients with severe accidental hypothermia
oksygenacja membranowa
hipotermia głęboka
finansowanie
membrane oxygenation
severe hypothermia
funding
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
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.abstract.en | 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. | pl |
dc.affiliation | Wydział Lekarski : Zakład Anestezjologii i Intensywnej Terapii | pl |
dc.affiliation | Wydział Lekarski : Instytut Kardiologii | pl |
dc.affiliation | Wydział Lekarski : Zakład Dydaktyki Medycznej | pl |
dc.affiliation | Wydział Nauk o Zdrowiu : Zakład Ratownictwa Medycznego | pl |
dc.cm.id | 83219 | |
dc.contributor.author | Kosiński, Sylweriusz - 366012 | pl |
dc.contributor.author | Darocha, Tomasz | pl |
dc.contributor.author | Jarosz, Anna | pl |
dc.contributor.author | Czerw, Aleksandra | pl |
dc.contributor.author | Podsiadło, Paweł | pl |
dc.contributor.author | Sanak, Tomasz - 138820 | pl |
dc.contributor.author | Gałązkowski, Robert | pl |
dc.contributor.author | Piątek, Jacek | pl |
dc.contributor.author | Konstanty-Kalandyk, Janusz - 152928 | pl |
dc.contributor.author | Ziętkiewicz, Mirosław - 133928 | pl |
dc.contributor.author | Kusza, Krzysztof | pl |
dc.contributor.author | Krzych, Łukasz J. | pl |
dc.contributor.author | Drwiła, Rafał - 129257 | pl |
dc.date.accession | 2020-12-22 | pl |
dc.date.accessioned | 2020-12-22T11:59:27Z | |
dc.date.available | 2020-12-22T11:59:27Z | |
dc.date.issued | 2017 | pl |
dc.date.openaccess | 0 | |
dc.description.accesstime | w momencie opublikowania | |
dc.description.additional | 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 | pl |
dc.description.number | 2 | pl |
dc.description.physical | 111-114 | pl |
dc.description.publication | 0,43 | pl |
dc.description.version | ostateczna wersja wydawcy | |
dc.description.volume | 49 | pl |
dc.identifier.eissn | 1731-2515 | pl |
dc.identifier.issn | 0209-1712 | pl |
dc.identifier.project | ROD UJ / OP | pl |
dc.identifier.uri | https://ruj.uj.edu.pl/xmlui/handle/item/259282 | |
dc.identifier.weblink | https://www.termedia.pl/Problemy-finansowania-terapii-pozaustrojowej-VA-ECMO-oraz-leczenia-chorych-w-glebokiej-przypadkowej-hipotermii,144,38989,1,0.html | pl |
dc.language | pol | pl |
dc.language.container | pol | pl |
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.en | membrane oxygenation | pl |
dc.subject.en | severe hypothermia | pl |
dc.subject.en | funding | pl |
dc.subject.pl | oksygenacja membranowa | pl |
dc.subject.pl | hipotermia głęboka | pl |
dc.subject.pl | finansowanie | pl |
dc.subtype | Article | pl |
dc.title | Problemy finansowania terapii pozaustrojowej VA-ECMO oraz leczenia chorych w głębokiej przypadkowej hipotermii | pl |
dc.title.alternative | Difficulties in funding of VA-ECMO therapy for patients with severe accidental hypothermia | pl |
dc.title.journal | Anestezjologia, Intensywna Terapia | pl |
dc.type | JournalArticle | pl |
dspace.entity.type | Publication |
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