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首页> 外文期刊>British journal of neurosurgery >Do adjustable shunt valves pressure our budget? A retrospective analysis of 541 implanted Codman Hakim programmable valves.
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Do adjustable shunt valves pressure our budget? A retrospective analysis of 541 implanted Codman Hakim programmable valves.

机译:可调节的分流阀会给我们的预算带来压力吗? 541植入的Codman Hakim可编程阀的回顾性分析。

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摘要

Based on a retrospective study in which a total of 541 Codman Hakim Programmable Valves (CHPV) were implanted in 477 patients over a 6-year period, this cost analysis was performed. By using a valve with an adjustable opening pressure, valve exchange to alter the opening pressure and surgical evacuation of subdural haematomas and hygromas can be avoided. Dividing the added cost for using the CHPV by the cost of implanting a non-programmable Hakim valve results in 105.8 valve exchanges, which would have had to be avoided to break even financially. On 107 occasions a valve was adjusted by a magnitude of 50 mmH2O or more. This, if an adjustment of that magnitude is said to correspond to a valve exchange, is sufficient to break even. The analysis suggests that the extra cost of the valve is outweighed by the ability to adjust the opening pressure setting non-invasively.
机译:在一项回顾性研究的基础上,在6年的时间里共向477例患者植入了541个Codman Hakim可编程瓣膜(CHPV)。通过使用具有可调节的打开压力的瓣膜,可以避免更换瓣膜以改变打开压力并避免硬膜下血肿和湿疹的手术排空。将使用CHPV的额外费用除以植入非可编程Hakim瓣膜的费用,结果是需要进行105.8瓣膜更换,这在经济上是必须避免的。在107次情况下,阀门的调节幅度为50 mmH2O或更高。如果说该幅度的调整对应于阀更换,则这足以达到收支平衡。分析表明,无创调节开启压力设置的能力可以弥补阀门的额外成本。

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