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dc.contributor.author Girardi, Priscyla Borges Miyamoto de Araujo
dc.contributor.author Hueb, Whady Armindo
dc.contributor.author Nogueira, Celia Regina Simões da Rocha
dc.contributor.author Takiuti, Myrthes Emy
dc.contributor.author Nakano, Teryo
dc.contributor.author Garzillo, Cibele Larrosa
dc.contributor.author Paulitsch, Felipe da Silva
dc.contributor.author Góis, Aécio Flávio Teixeira de
dc.contributor.author Lopes, Neusa Helena
dc.contributor.author Stolf, Noedir Antônio Groppo
dc.date.accessioned 2013-09-24T19:21:22Z
dc.date.available 2013-09-24T19:21:22Z
dc.date.issued 2008
dc.identifier.citation GIRARDI, Priscyla Borges Miyamoto de Araujo et al. Comparative Costs between Myocardial Revascularization with or without Extracorporeal Circulation. Arquivos Brasileiros de Cardiologia, São Paulo, v. 91, n. 6, p. 340-347, 2008. Disponível em: <http://www.scielo.br/scielo.php?pid=s0066-782x2008001800003&script=sci_arttext&tlng=en>. Acesso em: 31 ago. 2012 pt_BR
dc.identifier.issn 0066-782X
dc.identifier.uri http://repositorio.furg.br/handle/1/3868
dc.description.abstract Background: Surgical techniques of myocardial revascularization without the use of extracorporeal circulation (ECC) have raised hopes of attaining operative results with less systemic damage, lower occurrence of clinical complications and shorter hospital stay duration, generating expectations of lower hospital costs. Objective: To evaluate the hospital costs in patients submitted to myocardial revascularization with and without ECC and in those with stable multiarterial coronary disease with preserved ventricular function. Methods: The hospital costs were based on the existing governmental reimbursement. The costs included that of ortheses and prostheses and clinical complications. The time and costs of ICU stay and hospital stay duration were considered. Results: Between January 2002 and August 2006, 131 patients were randomized to surgery with ECC (SECC), whereas 128 were randomized to surgery without ECC (WECC). The basal characteristics were similar for both groups. The costs of surgical complications were significantly lower (p < 0.001) in patients from the WECC when compared to the SECC group (606.00 ± 525.00 vs. 945.90 ± 440.00), as well as ICU costs: 432.20 ± 391.70 vs. 717.70 ± 257.70, respectively. The duration of the operating room stay were 4.9 ± 1.1 h vs. 3.9 ± 1.0 h, p < 0.001; at the ICU it was 48.2 ± 17.2 h vs. 29.2 ± 26.1h) (p < 0.001), with intubation time of 9.2 ± 4.5 h vs. 6.4 ± 5.1h, p < 0.001 for patients from the group with and without ECC, respectively. Conclusion: The present study allowed us to conclude that the myocardial revascularization surgery without extracorporeal circulation results in the decrease of operational costs and duration of the stay in each section related to the surgical treatment. pt_BR
dc.language.iso eng pt_BR
dc.rights open access pt_BR
dc.subject Hospital costs pt_BR
dc.subject Extracorporeal circulation/economic/adverse effects pt_BR
dc.subject Coronary artery bypass pt_BR
dc.subject Off pump pt_BR
dc.subject Myocardial revascularization pt_BR
dc.subject Coronary arteriosclerosis pt_BR
dc.title Comparative Costs between Myocardial Revascularization with or without Extracorporeal Circulation pt_BR
dc.type article pt_BR
dc.identifier.doi 10.1590/S0066-782X2008001800003 pt_BR


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