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首页> 外文期刊>Canadian journal of surgery: Journal canadien de chirurgie >A cost-effectiveness analysis of standard versus endovascular abdominal aortic aneurysm repair.
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A cost-effectiveness analysis of standard versus endovascular abdominal aortic aneurysm repair.

机译：标准与血管内腹主动脉瘤修复的成本效益分析。

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OBJECTIVE: To compare endovascular and standard open repair of abdominal aortic aneurysms in terms of initial in-hospital costs and the costs of secondary interventions and surveillance. DESIGN: A retrospective study. SETTING: A university-affiliated tertiary care medical centre. PATIENTS: Seven patients who underwent elective endovascular (EV) repair of an abdominal aortic aneurysm in 1998 and 31 patients anatomically suitable for endovascular repair who underwent standard (STAN) elective repair. Follow-up ranged from 2 to 14 months. INTERVENTIONS: Elective repair of an abdominal aortic aneurysm with use of the standard technique or endovascular technology. OUTCOME MEASURES: Costs common to both groups were not determined. Costs were determined for total hospital stay, preoperative or postoperative embolization, grafts, additional endovascular equipment, and follow-up computed tomography. RESULTS: Groups were similar with respect to demographic data and aneurysm size (EV = 6.23 cm v. STAN = 6.05 cm). All patients were in American Society of Anesthesiologists class III or IV. Vanguar bifurcated grafts and extensions were used in the EV group. The total cost for both groups in Canadian dollars included: cost of stay (EV, 5.6 d,
机译：目的：比较医院的腹主动脉瘤的血管内修复和标准开放修复的初始住院费用以及二次干预和监测的费用。设计：一项回顾性研究。地点：大学附属的三级医疗中心。患者：1998年对腹部主动脉瘤进行了选择性血管内（EV）修复的7例患者，以及在解剖学上适合标准的（STAN）选择性血管内修复的31例患者。随访时间为2到14个月。干预：使用标准技术或血管内技术选择性修复腹主动脉瘤。观察指标：两组均未确定共同费用。确定了总住院时间，术前或术后栓塞，移植物，额外的血管内设备以及后续计算机断层扫描的费用。结果：人口统计学数据和动脉瘤大小的分组相似（EV = 6.23 cm vs STAN = 6.05 cm）。所有患者均属于美国麻醉医师学会III级或IV级。 EV组使用Vanguar分叉移植物和延伸物。两组的总费用以加元计，包括：住宿费用（EV，5.6 d，

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