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Determining the hospital cost of anterior epistaxis treatment modalities at a Canadian tertiary care centre

World Journal of Otorhinolaryngology-Head and Neck Surgery 2019年第4期5卷 193-199页

作者： Harrish Nithianandan kednapa thavorn Fatmahalzahra Banaz Kristian Macdonald Andrea Lasso Shaun J.Kilty Faculty of Medicine University of OttawaOttawaOntarioCanada Ottawa Hospital Research Institute(OHRI) OttawaOntarioCanada School of Epidemiology and Public Health University of OttawaOttawaOntarioCanada Institute for Clinical and Evaluative Sciences ICES uOttawaOttawaOntarioCanada Department of Otolaryngology-Head and Neck Surgery The University of OttawaOttawaOntarioCanada Dr.S.Kilty Medicine Prof.Corp. OttawaONCanada

Objective:To estimate the hospital costs of managing anterior epistaxis in the Emergency Department at a Tertiary Care centre in *** and methods:A cost analysis was conducted based on a retrospective review of Emergency Department visits from January 2012 to May 2014.A consecutive sample of adult patients with a diagnosis of anterior epistaxis was *** epistaxis was managed via one of:Nasal clip,Merocel(R),Silver Nitrate cautery,Vaseline packing,other treatment or no *** the direct and indirect hospital costs(SCDN)for anterior epistaxis treatment were calculated from the hospital's *** linear models were used to assess the association between treatment modalities and total hospital costs while controlling for potential confounding ***:Three hundred and fifty-three patients(49%female)with a mean age of(69.9±18.5)years were included in the *** median(interquartile ranges)costs of treatment ranged from CS227.83(CS167.96,CS328.69)for observation to CS763.98(CS632.25,CS830.23)for Merocel(R).The overall median total hospital costs incurred across all modalities was CS566.24(CS459.61,CS753.46)for the management of anterior *** Nitrate,nasal clip,and observation were statistically associated with a lower cost when compared to Merocel(R)(P<0.001)even after potential confounding factors were ***:Our results show wide difference in the hospital cost of epistaxis across treatment *** cost estimates can help inform future economic evaluation studies aiming to guide the allocation of health care resources for patients with epistaxis.

关键词： Anterior epistaxis Nasal packing Cautery Silver nitrate Hospital costs

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