[Evoked potentials for quality assurance in carotid surgery--a cost effectiveness analysis].
In order to evaluate the relation between costs and benefit of the use of a temporary shunt during surgery of the carotid artery, we analysed 356 patients undergoing 401 operations of the carotid artery in a period from January 1991 to August 1995 in a retrospective study. The morbidity and mortality during hospital stay were 1.75% respectively 0.75% referring to neurological outcome and death. The potential to economize surgery of the carotid artery by recording the somatosensory evoked potentials in order to select the patients requiring a temporary shunt would be 4.1% of the payment which will be payed from 1996 by the social insurance for carotid endarterectomy. These savings can be realized without loss of quality or higher risk for the patient.
Quendt
J
J
Klinik für Gefässchirurgie, Katharinenhospital, Stuttgart.
Uhl
B J
BJ
Wedekind
L V
LV
Fürnrohr
H
H
D000368:Aged; D016893:Carotid Stenosis / Q000191:economics / Q000401:mortality / Q000601:surgery*; D003362:Cost-Benefit Analysis; D016894:Endarterectomy, Carotid / Q000191:economics*; D005073:Evoked Potentials, Somatosensory / Q000502:physiology; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative / Q000191:economics*; D009313:National Health Programs / Q000191:economics; D011785:Quality Assurance, Health Care / Q000191:economics; D012189:Retrospective Studies; D015996:Survival Rate
Evozierte Potentiale zur Qualitätssicherung in der Carotischirurgie--eine Kosten-Nutzen-Analyse.