,
Department of Surgery, Cantonal Hospital Zenica, Zenica, Bosnia and Herzegovina
Department of Neurology, Cantonal Hospital Zenica, Zenica, Bosnia and Herzegovina
Department of Surgery, Cantonal Hospital Zenica,, Zenica, Bosnia and Herzegovina
Institute of Forensic Medicine and Forensic Toxicology, School of Medicine, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
Clinic of Cardio-Vascular Surgery, Clinical Centre of the University of Sarajevo, Sarajevo, Bosnia and Herzegovina
Clinic of Cardio-Vascular Surgery, Clinical Centre of the University of Sarajevo, Sarajevo, Bosnia and Herzegovina
Clinic of Cardio-Vascular Surgery, Clinical Centre of the University of Sarajevo, Sarajevo, Bosnia and Herzegovina
Clinic of Cardio-Vascular Surgery, Clinical Centre of the University of Sarajevo, Sarajevo, Bosnia and Herzegovina
Aim
To compare hospital costs of acute limb ischemia treatment in two periods of time and to show evidence of long-term repercussions on reducing costs during successful treatment.
Methods
Retrospective analysis of data obtained from 100 patients' medical history in the period 2000-2016 at the Clinic of Vascular Surgery Sarajevo: group A-60 patients with acute limb ischemia in the period 2005-2016 and group B-40 patients with acute limb ischemia (ALI) in the period 2000-2005. From 2000 to 2005 conservative treatment method was used, invasive diagnostic and surgical procedures were often delayed for a shorter or longer period of time. During the period from 2005 to 2016, the management model and safe practice included emergency diagnostic procedures, colour-Doppler, arteriography, emergency surgery (embolectomy by Fogharty and if necessary, vascular bypass).
Results
Better health service for the patients with acute limb ischemia was offered in the period 2005-2016, which relied on proven medical treatment trends. The largest share of the total costs of each patient included costs of hospital bed with significant difference between the period 2005-2016 and 2000-2005, mean of 1398.71 KM and 2480.45KM, respectively (p <0.0001), indicating rationalization of time that patients spend at the Vascular Clinic.
Conclusion
This trend of money/fund savings is an example of good practice, effectiveness and efficiency in the treatment of ALI and as such was used in patients with other vascular diseases.
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