Reduction in hospital costs and resource consumption associated with the use of advanced topical hemostats during inpatient procedures

Journal of Medical Economics
Derek MartynMitra Corral

Abstract

The use of hemostatic agents has increased over time for all surgical procedures. The purpose of this study was to evaluate the newer topical absorbable hemostat products Surgicel * Fibrillar † and Surgicel SNoW ‡ (Surgicel advanced products, abbreviated as SAPs) compared to the older product Surgicel Original (SO) with respect to healthcare resource use and costs in procedures where these hemostats are most commonly used. A retrospective analysis of the Premier hospital database was used to identify adults who underwent brain/cerebral (BC), cardiovascular (CV: valve surgery and coronary artery bypass graft) and carotid endarterectomy (CEA) between January 2011-December 2012. Among these patients, those treated with SAPs were compared to those treated with SO. Propensity score matching (PSM) was used to create comparable groups to evaluate differences between SAPs and SO. The primary end-points for this study were length of stay (LOS), all-cause total cost, number of intensive care unit (ICU) days, ICU cost, transfusion costs and units, and SO/SAP product units per discharge. Matched PSM created patient cohorts for SO and SAPs were created for BC (n = 758 for both groups), CV (n = 3388 for both groups), and CEA (n = 2041 for bo...Continue Reading

Associated Clinical Trials

Sep 21, 2016·Joann Petrini, PhD, MPH, Joann Petrini, PhD, MPH

References

Jan 15, 2005·Pharmacoepidemiology and Drug Safety·John D SeegerAlexander M Walker
May 2, 2006·Transplantation Proceedings·M MariettaG Torelli
Sep 3, 2013·The Journal of Surgical Research·Jason D WrightDawn L Hershman

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Citations

Jan 12, 2016·ACS Biomaterials Science & Engineering·Vivek A KumarJeffrey D Hartgerink
Apr 12, 2018·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Ji-Qi WangYou-Ming Zhao
Apr 17, 2018·Expert Review of Medical Devices·Kevin M LewisCarl Erik Kuntze

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