Does the new vascular management of acute limb ischemia have effective results with lower treatment costs
- Haris Vukas
(Cantonal Hospital Zenica, Zenica, Department of Surgery, Bosnia and Herzegovina)
- Samra Kadić-Vukas (Cantonal Hospital Zenica, Zenica, Department of Neurology, Bosnia and Herzegovina)
- Senad Dervišević (Cantonal Hospital Zenica, , Zenica, Department of Surgery, Bosnia and Herzegovina)
- Adis Salihbegović (Institute of Forensic Medicine and Forensic Toxicology, School of Medicine, University of Sarajevo, Sarajevo, Bosnia and Herzegovina)
- Haris Vranić (Clinical Centre of the University of Sarajevo, Sarajevo, Clinic of Cardio-Vascular Surgery, Bosnia and Herzegovina)
- Muhamed Djedović (Clinical Centre of the University of Sarajevo, Sarajevo, Clinic of Cardio-Vascular Surgery, Bosnia and Herzegovina)
- Amel Hadžimehmedagić (Clinical Centre of the University of Sarajevo, Sarajevo, Clinic of Cardio-Vascular Surgery, Bosnia and Herzegovina)
- Dragan Totić (Clinical Centre of the University of Sarajevo, Sarajevo, Clinic of Cardio-Vascular Surgery, Bosnia and Herzegovina)
Abstract
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.
Keywords: acute limb ischemia, cost, embolectomy by Fogharty, vascular
How to Cite:
Vukas, H., Kadić-Vukas, S., Dervišević, S., Salihbegović, A., Vranić, H., Djedović, M., Hadžimehmedagić, A. & Totić, D., (2019) “Does the new vascular management of acute limb ischemia have effective results with lower treatment costs”, Medicinski glasnik 16(2), 265-270. doi: https://doi.org/10.17392/1004-19
Downloads:
Download PDF
View PDF
0 Views
0 Downloads