None listed
Conditions
Brief summary
The purpose of this study is to determine the costs associated with post-operative complications of those undergoing a small bowel resection. Accurately defining the costs of complications allows institutions to make more informed decisions as to what areas comprise a significant cost percentage, and then implement strategies to mitigate this. This study is conducted using a review of medical records, and no patient contact is required. Who is it for? This is a retrospective study evaluating the costs of complications of adult patients who underwent a small bowel resection at the Austin Hospital between January 2013 and June 2018. Study details The aim of this study is to outline the health costs of postoperative complications in patients who undergo small bowel resection surgery. We consider the incidence, type and severity of these complications and expand on the surgical method used in relation to small bowel resection. Further, we highlight the importance of evaluating the components of healthcare cost profiles relevant to patients undergoing small bowel resection. We hypothesise that patients who suffer complications would incur greater costs as compared to patients who did not have a complication. We also hypothesised that as the complication severity increased, there would also be an increase in costs. It is hoped that this study will outline the costs of postoperative complications in patients who undergo small bowel resection surgery, and highlight the importance of evaluating the components of healthcare cost profiles relevant to patients undergoing small bowel resection.
Interventions
There is no participant involvement. Only the de-identified hospital medical record of patients who have undergone surgery will be reviewed.
We will review the following ICD Codes:
30515-03 Ileocolic resection with anastomosis
30515-04 Laparoscopic ileocolic resection with anastomosis
30515-05 Ileocolic resection with formation of stoma
30515-06 Laparoscopic ileocolic resection with formation of stoma
30565-00 Resection of small intestine with formation of stoma
30566-00 Resection of small in
There is no participant involvement. Only the de-identified hospital medical record of patients who have undergone surgery will be reviewed. We will review the following ICD Codes: 30515-03 Ileocolic resection with anastomosis 30515-04 Laparoscopic ileocolic resection with anastomosis 30515-05 Ileocolic resection with formation of stoma 30515-06 Laparoscopic ileocolic resection with formation of stoma 30565-00 Resection of small intestine with formation of stoma 30566-00 Resection of small intestine with anastomosis The procedures were performed at the Austin Hospital, a tertiary hospital with small bowel expertise, over the period of January 2013 and June 2018. Patients were followed-up for 30 days following discharge from the index admission. If no subsequent re-admissions occurred within this period, follow-up ceased. If a patient was readmitted within the 30-day period, then the readmission was included, and following discharge from the readmission or end of the original 30-day period, whichever was later, follow-up ceased.
Sponsors
Department of Anaesthesia, Austin Health
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Patients who undergo a small bowel resection for any indication at the Austin Hospital were considered. Small bowel resection will be defined as any procedure which involves partial or full removal of the small bowel. All surgical techniques will be considered. Any indication for a small bowel resection will be considered. Both emergent and elective would also be considered.
Exclusion criteria
Patients undergoing small bowel resection that was minor and secondary to another concomitant major procedure were excluded.
Outcome results
None listed