Epistaxis cost-effectiveness of therapy: Difference between revisions
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{{Epistaxis}} | {{Epistaxis}} | ||
'''Editor-In-Chief:''' [[User:C Michael Gibson|C. Michael Gibson, M.S., M.D.]] [[Mailto:charlesmichaelgibson@gmail.com|[1]]]; '''Associate Editor(s)-in-Chief:''' [[User:Amir Bagheri|Amir Behzad Bagheri, M.D.]] | |||
== Overview == | |||
Most of the patients with [[epistaxis]] doesn't need any [[medical procedure]]. Nasal compression is the best first option to stop [[bleeding]]. 95.5% of patients with [[epistaxis]] who attend [[Emergency department|emergency departments]] were [[Discharge|discharged]], [[patients]] were charged on average $1146.21 per visit. | |||
== Cost-effectiveness of Therapy == | |||
* 95.5% of patients with [[epistaxis]] who attend [[Emergency department|emergency departments]] were [[Discharge|discharged]], [[patients]] were charged on average $1146.21 per visit($1473.29 for nasal packing vs $1048.22 otherwise). | |||
* A study from Canada showed that when first procedures to stop epistaxis fail, and repeated nasal packing performed to stop bleeding, may increase charging patients up to CaD $4046.74 | |||
'''Costs for inpatient:''' | |||
* About 2.24 days stay in hospital with an average cost of $6925 per admission. | |||
* Renal diseases can increase costs of per admission by $1272. | |||
* $30,000 for [[embolization]] (total charging of admission by $58,967) | |||
* Surgical ligation ($28,611) | |||
It is found that in posterior [[epistaxis]], endoscopic [[sphenopalatine artery]] ligation(ESPAL) at first is cost-saving instead of preforming posterior nasal packing. <ref name="DedhiaDesai2013">{{cite journal|last1=Dedhia|first1=Raj C.|last2=Desai|first2=Shamit S.|last3=Smith|first3=Kenneth J.|last4=Lee|first4=Stella|last5=Schaitkin|first5=Barry M.|last6=Snyderman|first6=Carl H.|last7=Wang|first7=Eric W.|title=Cost-effectiveness of endoscopic sphenopalatine artery ligation versus nasal packing as first-line treatment for posterior epistaxis|journal=International Forum of Allergy & Rhinology|volume=3|issue=7|year=2013|pages=563–566|issn=20426976|doi=10.1002/alr.21137}}</ref> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 00:19, 28 October 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [[1]]; Associate Editor(s)-in-Chief: Amir Behzad Bagheri, M.D.
Overview
Most of the patients with epistaxis doesn't need any medical procedure. Nasal compression is the best first option to stop bleeding. 95.5% of patients with epistaxis who attend emergency departments were discharged, patients were charged on average $1146.21 per visit.
Cost-effectiveness of Therapy
- 95.5% of patients with epistaxis who attend emergency departments were discharged, patients were charged on average $1146.21 per visit($1473.29 for nasal packing vs $1048.22 otherwise).
- A study from Canada showed that when first procedures to stop epistaxis fail, and repeated nasal packing performed to stop bleeding, may increase charging patients up to CaD $4046.74
Costs for inpatient:
- About 2.24 days stay in hospital with an average cost of $6925 per admission.
- Renal diseases can increase costs of per admission by $1272.
- $30,000 for embolization (total charging of admission by $58,967)
- Surgical ligation ($28,611)
It is found that in posterior epistaxis, endoscopic sphenopalatine artery ligation(ESPAL) at first is cost-saving instead of preforming posterior nasal packing. [1]
References
- ↑ Dedhia, Raj C.; Desai, Shamit S.; Smith, Kenneth J.; Lee, Stella; Schaitkin, Barry M.; Snyderman, Carl H.; Wang, Eric W. (2013). "Cost-effectiveness of endoscopic sphenopalatine artery ligation versus nasal packing as first-line treatment for posterior epistaxis". International Forum of Allergy & Rhinology. 3 (7): 563–566. doi:10.1002/alr.21137. ISSN 2042-6976.