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Efficacy of Seprafilm for preventing adhesive bowel obstruction and cost–benefit analysis in pediatric patients undergoing laparotomy
- Source :
- Journal of Pediatric Surgery. 48:1528-1534
- Publication Year :
- 2013
- Publisher :
- Elsevier BV, 2013.
-
Abstract
- Purpose This aim of the study is to determine whether the use of Seprafilm reduces the incidence and the medical costs of adhesive bowel obstruction (ABO) in children. Methods Pediatric patients undergoing laparotomy were prospectively assigned to the Seprafilm group, n = 441). A historical control group consisted of children without using Seprafilm (n = 409). The incidence of ABO during a 24-month follow-up period was compared between the groups. To clarify the cost–benefit relations, expenses for Seprafilm and medical costs for hospitalization related to ABO in the Seprafilm group were compared with the ABO-associated hospitalization costs in the control group. Results The cumulative incidence rate of ABO in the control group was significantly higher than in the Seprafilm group (4.9% vs. 2.0%, p = 0.015). Nearly all cases that required adhesiolysis had adhesions to areas other than the incision in both groups. In cost–benefit analysis, cost per patient was $105 higher in the control group than in the Seprafilm group, but this did not reach significance (p = 0.63). Conclusions Seprafilm reduces the incidence of ABO in the pediatric patients undergoing laparotomy. Although associated medical costs in the Seprafilm group were not significantly reduced, use of Seprafilm did not lead to an increase in cost. Wider range of Seprafilm application or an additional anti-adhesion device may help in preventing adhesion to areas other than the incision.
- Subjects :
- Male
medicine.medical_specialty
Cost-Benefit Analysis
medicine.medical_treatment
Adhesion (medicine)
Tissue Adhesions
Laparotomy
ABO blood group system
medicine
Humans
Cumulative incidence
Prospective Studies
Hyaluronic Acid
Child
Prospective cohort study
Cost–benefit analysis
business.industry
Incidence
Incidence (epidemiology)
Infant, Newborn
Infant
General Medicine
medicine.disease
Surgery
Bowel obstruction
Intestinal Diseases
Child, Preschool
Pediatrics, Perinatology and Child Health
Female
business
Intestinal Obstruction
Subjects
Details
- ISSN :
- 00223468
- Volume :
- 48
- Database :
- OpenAIRE
- Journal :
- Journal of Pediatric Surgery
- Accession number :
- edsair.doi.dedup.....5fd9f7c8c8b06a7f8ff3d36805b79975