Inpatient costs of routine endovascular repair of abdominal aortic aneurysm

Jessica S. Lester, Johanna L. Bosch, John Kaufman, Elkan F. Halpern, G. Scott Gazelle

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Rationale and Objectives. The purpose of this study was to determine the inpatient cost of routine (ie, without emergent conversion to open repair during the hospital stay) endovascular stent-graft placement in a consecutive series of patients undergoing elective endovascular repair of abdominal aortic aneurysm (AAA) at a single institution. Materials and Methods. Inpatient hospital costs of 91 patients who underwent initial elective endovascular repair of AAA were analyzed retrospectively. All patients had participated in clinical trials at the authors' institution during the previous 6 years. Financial data were derived from the hospital's cost-accounting system; additional procedural data were collected from a departmental database and with chart review. Stent-graft and professional costs were excluded. Results. The mean total cost for endovascular repair was $11,842 (standard deviation [SD], $5,127), mean procedure time was 149 minutes (SD, 79 minutes), and mean length of stay was 3.5 days (SD, 2.3 days). Total cost depended on stent-graft type (means, $12,428 [bifurcated] vs $9,622 [tube]; P = .0002) and strongly correlated with procedure time and length of hospital stay (r = 0.78 and 0.66, respectively; P <.0001). Ninety-six percent of total costs for all patients were attributable to the following departments: operating theater (31%), radiology (31%), nursing (22%), and anesthesia (12%). Conclusion. Overall costs are greater with bifurcated than with tube stent-grafts. Total procedure-related costs are divided relatively equally between the operating theater, the radiology department, and the combination of the nursing and anesthesia departments.

Original languageEnglish (US)
Pages (from-to)639-646
Number of pages8
JournalAcademic Radiology
Volume8
Issue number7
DOIs
StatePublished - 2001
Externally publishedYes

Fingerprint

Abdominal Aortic Aneurysm
Inpatients
Costs and Cost Analysis
Stents
Length of Stay
Transplants
Hospital Costs
Radiology
Nursing
Hospital Anesthesia Department
Anesthesia
Clinical Trials
Databases

Keywords

  • Aortic aneurysm, abdominal
  • Hospital costs
  • Stents

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Inpatient costs of routine endovascular repair of abdominal aortic aneurysm. / Lester, Jessica S.; Bosch, Johanna L.; Kaufman, John; Halpern, Elkan F.; Gazelle, G. Scott.

In: Academic Radiology, Vol. 8, No. 7, 2001, p. 639-646.

Research output: Contribution to journalArticle

Lester, Jessica S. ; Bosch, Johanna L. ; Kaufman, John ; Halpern, Elkan F. ; Gazelle, G. Scott. / Inpatient costs of routine endovascular repair of abdominal aortic aneurysm. In: Academic Radiology. 2001 ; Vol. 8, No. 7. pp. 639-646.
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