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Influence on ICU course, outcome and costs for lung transplantation after implementation of the new Swiss transplantation law
- Source :
- Transplantation Research
- Publication Year :
- 2014
-
Abstract
- Background The Swiss organ allocation system for donor lungs was implemented on 1 July 2007. The effects of this implementation on patient selection, intensive care unit course, outcomes and intensive care costs are unknown. Methods The first 37 consecutive lung transplant recipients following the implementation of the new act were compared with the previous 42 lung transplant recipients. Results Following implementation of the new law, baseline characteristics and cumulative one-year patient survival were comparable in both groups (88.1% vs 83.8%, P = 0.58). The costs for each case increased by 35,000 euros after adoption of the new law. Stratifying patients after implementation of the law according to urgency status shows that urgent patients required longer mechanical ventilation (P = 0.04), a longer ICU stay (P = 0.045) and a longer hospital stay (P = 0.04) and ICU costs (median 64,050 euros) were higher compared to regular patients. Conclusion The new transplantation law has increased ICU costs with the implementation of the Swiss organ allocation system. Patients listed as ‘urgent’ contribute significantly to the increase in ICU costs.
- Subjects :
- medicine.medical_specialty
2747 Transplantation
medicine.medical_treatment
Immunology
610 Medicine & health
Outcome (game theory)
law.invention
law
Intensive care
medicine
lung transplantation
Lung transplantation
allocation system
Intensive care medicine
health care economics and organizations
Mechanical ventilation
Transplantation
ICU costs
2403 Immunology
biology
business.industry
Research
Euros
biology.organism_classification
Intensive care unit
Baseline characteristics
10023 Institute of Intensive Care Medicine
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Transplantation Research
- Accession number :
- edsair.doi.dedup.....73aadcec4a5105f7d296434e000fba47