Economics and clinical implications of delayed presentation of children with intussusceptions: minimizing healthcare cost in the context of limited resources.
| dc.contributor.author | Nasir, A.A. | |
| dc.contributor.author | David, N. Abdul-Rahman L.O . | |
| dc.contributor.author | Gobir, A.A | |
| dc.contributor.author | Saka, A.O | |
| dc.date.accessioned | 2021-04-29T12:19:13Z | |
| dc.date.available | 2021-04-29T12:19:13Z | |
| dc.date.issued | 2019 | |
| dc.description.abstract | Background A basic strategy in today’s resource-limited healthcare environment is limiting cost while maintaining quality. Objective To estimate the impact and healthcare cost of treatment of intussusceptions (ISs) presenting late. Patients and methods We performed a chart review of children managed for ISs over 44 months. Our care pathway included resuscitation, ultrasound-guided hydrostatic reduction of children presenting early (≤24 h) with no peritonitis. Results There were 46 children seen at a median age of 8.5 months. Thirty-two (69.6%) presented late (>24 h). The total charge was higher for patients who presented late ($259.6 vs. $168.9, P=0.012). There was an average of 21% ($50.0) additional charges incurred for each day’s delay. There was significantly higher cost of drugs ($45.1 vs. $23.7, P=0.008) and procedures ($154.4 vs. $99.5, P=0.025). Those who presented late had increased risk of bowel resection (40 vs. 0%, odds ratio=1.74, P=0.005), and higher complication rates (56 vs. 21%, odds ratio=0.21, P=0.018). The length of stay was doubled for those who presented late (10.6 vs. 4.6 days, P=0.001). Conclusion Delayed presentation of ISs translates to increased hospital cost and an extra week in hospital with increased morbidity. | en_US |
| dc.identifier.citation | 37(4); 600–605. | en_US |
| dc.identifier.uri | https://uilspace.unilorin.edu.ng/handle/20.500.12484/4877 | |
| dc.publisher | The Egyptian Journal of Surgery, Published by Laredo College | en_US |
| dc.title | Economics and clinical implications of delayed presentation of children with intussusceptions: minimizing healthcare cost in the context of limited resources. | en_US |
| dc.type | Article | en_US |
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