Articolul precedent |
Articolul urmator |
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SM ISO690:2012 BARAT, Sorin. Cost-eficiența operațiilor hibrid la pacienții cu leziuni polisegmentare aterosclerotice și ischemie critică . In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 386. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | |||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | |||||
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Pag. 386-386 | |||||
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Rezumat | |||||
Background. Vascular hybrid interventions give the possibility of maximal limb revascularization, with a lower operative trauma, compared to traditional revascularizations, in high risk patients. Objective of the study. Cost-efficiency analysis of perioperative period of hybrid interventions. Material and Methods. Two comparable groups were analyzed: the first, historical control group – patients with multilevel atherosclerosis and ASA III, IV risk, operated traditionally, with aortic, iliac to femoral reconstructions in the period 2012-2016 (n=68), and a second – study group – with patients having the same characteristics, operated using hybrid vascular approach in the period 2016-2020 (n=27). Results. In the study group 10(37%) patients needed intensive care unit versus 39(58%) in the control group (p<0.05). Mechanical ventilation (<12h) was needed for 2(7,4%) patients in the study group versus 34(50%) in the control group (p<0.05). The duration of mechanical ventilation in the control group was: 23(33,8%)<12h; 6(8,8%)-12-24h; 3(4,4%) - 25-48h; 2(2,9%) - 49-72h. Conclusion. This study shows the cost-efficiency of the perioperative period of hybrid interventions, translated by reduced need and duration of mechanical ventilation, and treatment in the intensive care unit. |
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Cuvinte-cheie Hybrid, atherosclerosis, cost-eficiency, hibrid, ateroscleroză, cost-eficienţă |
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