Cost analysis of diagnostic laparoscopy vs laparotomy in the evaluation of penetrating abdominal trauma.
Diagnostic laparoscopy for the evaluation of injuries in patients with penetrating abdominal trauma has been shown to decrease the morbidity and mortality associated with mandatory laparotomy.
The overall impact on patient care and hospital costs has not been thoroughly investigated.
The goal of this study was to determine the economic impact of laparoscopy as a diagnostic tool in the management of patients following penetrating trauma to the abdomen or flank.
Retrospective chart review of all hemodynamically stable patients with penetrating trauma to the abdomen or flank, but without other injuries requiring emergent intervention, admitted to a level I trauma center between January 1,1992, and September 30,1994.
Those patients who underwent either laparoscopy (DL) or laparotomy (NL) or both (CONV) and who had no intraabdominal organ injuries requiring surgical therapeutic intervention were included in the study.
Age, operative time, operative findings, length of hospitalization, Injury Severity Score (ISS), variable costs, and total costs were recorded for each patient.
Fourteen patients underwent negative/nontherapeutic laparoscopy (DL), 19 patients underwent negative/nontherapeutic laparotomy (NL), and four patients underwent both laparoscopy and laparotomy, a conversion procedure (CONV).
There was no significant difference in age, operative times, or ISS between the DL and NL groups. (...)
Mots-clés Pascal : Plaie pénétrante, Abdomen, Evaluation, Laparoscopie, Diagnostic, Lésion, Laparotomie, Etude comparative, Analyse coût, Homme, Traumatisme, Appareil digestif pathologie, Abdomen pathologie, Endoscopie, Chirurgie, Economie santé
Mots-clés Pascal anglais : Penetrating injury, Abdomen, Evaluation, Laparoscopy, Diagnosis, Lesion, Laparotomy, Comparative study, Cost analysis, Human, Trauma, Digestive diseases, Abdominal disease, Endoscopy, Surgery, Health economy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0256620
Code Inist : 002B24E06. Création : 11/06/1997.