Could benefits of epidural analgesia following oesophagectomy be measured by perceived perioperative patient workload?
(2008) In Acta Anaesthesiologica Scandinavica 52(10). p.1313-1318- Abstract
- Background: A controversy exists whether beneficial analgesic effects of epidural analgesia over intravenous analgesia influence the rate of post-operative complications and the length of hospital stay. There is some evidence that favours epidural analgesia following major surgery in high-risk patients. However, there is a controversy as to whether epidural analgesia reduces the intensive care resources following major surgery. In this study, we aimed at comparing the post-operative costs of intensive care in patients receiving epidural or intravenous analgesia. Methods: Clinical data and rates of post-operative complications were extracted from a previously reported trial following thoraco-abdominal oesophagectomy. Cost data for... (More)
- Background: A controversy exists whether beneficial analgesic effects of epidural analgesia over intravenous analgesia influence the rate of post-operative complications and the length of hospital stay. There is some evidence that favours epidural analgesia following major surgery in high-risk patients. However, there is a controversy as to whether epidural analgesia reduces the intensive care resources following major surgery. In this study, we aimed at comparing the post-operative costs of intensive care in patients receiving epidural or intravenous analgesia. Methods: Clinical data and rates of post-operative complications were extracted from a previously reported trial following thoraco-abdominal oesophagectomy. Cost data for individual patients included in that trial were retrospectively obtained from administrative records. Two separate phases were defined: costs of pain treatment and the direct cost of intensive care. Results: Higher calculated costs of epidural vs. intravenous pain treatment, 1,037 vs. 410 Euros/patient, were outweighed by lower post-operative costs of intensive care 5,571 vs. 7,921 Euros/patient (NS). Conclusion: Higher costs and better analgesic effects of epidural analgesia compared with intravenous analgesia do not reduce total costs for post-operative care following major surgery. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1285094
- author
- Bartha, E. ; Rudin, Åsa LU ; Flisberg, Per LU ; Lundberg, Johan LU ; Carlsson, P. and Kalman, S.
- organization
- publishing date
- 2008
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Acta Anaesthesiologica Scandinavica
- volume
- 52
- issue
- 10
- pages
- 1313 - 1318
- publisher
- Wiley-Blackwell
- external identifiers
-
- wos:000260131000002
- scopus:54049152764
- ISSN
- 0001-5172
- DOI
- 10.1111/j.1399-6576.2008.01734.x
- language
- English
- LU publication?
- yes
- id
- 68e4683e-337d-48cd-a719-b0f7d20d5c05 (old id 1285094)
- date added to LUP
- 2016-04-01 12:06:16
- date last changed
- 2022-04-29 00:45:14
@article{68e4683e-337d-48cd-a719-b0f7d20d5c05,
abstract = {{Background: A controversy exists whether beneficial analgesic effects of epidural analgesia over intravenous analgesia influence the rate of post-operative complications and the length of hospital stay. There is some evidence that favours epidural analgesia following major surgery in high-risk patients. However, there is a controversy as to whether epidural analgesia reduces the intensive care resources following major surgery. In this study, we aimed at comparing the post-operative costs of intensive care in patients receiving epidural or intravenous analgesia. Methods: Clinical data and rates of post-operative complications were extracted from a previously reported trial following thoraco-abdominal oesophagectomy. Cost data for individual patients included in that trial were retrospectively obtained from administrative records. Two separate phases were defined: costs of pain treatment and the direct cost of intensive care. Results: Higher calculated costs of epidural vs. intravenous pain treatment, 1,037 vs. 410 Euros/patient, were outweighed by lower post-operative costs of intensive care 5,571 vs. 7,921 Euros/patient (NS). Conclusion: Higher costs and better analgesic effects of epidural analgesia compared with intravenous analgesia do not reduce total costs for post-operative care following major surgery.}},
author = {{Bartha, E. and Rudin, Åsa and Flisberg, Per and Lundberg, Johan and Carlsson, P. and Kalman, S.}},
issn = {{0001-5172}},
language = {{eng}},
number = {{10}},
pages = {{1313--1318}},
publisher = {{Wiley-Blackwell}},
series = {{Acta Anaesthesiologica Scandinavica}},
title = {{Could benefits of epidural analgesia following oesophagectomy be measured by perceived perioperative patient workload?}},
url = {{http://dx.doi.org/10.1111/j.1399-6576.2008.01734.x}},
doi = {{10.1111/j.1399-6576.2008.01734.x}},
volume = {{52}},
year = {{2008}},
}