[Treatment of patent ductus arteriosus. Comparison of costs between surgical and trans-catheter closures in a public institution].
The costs of transcatheter closure of patent ductus arteriosus in relation to the surgical closure still a controvertial issue in our hospitals. The aim of the study was compared the costs of both treatments.


METHODS
We included 57 patients treated with transcatheter occlusion and 26 underwent surgery. Information about laboratory tests, average in hospital days of stay, anesthesia type and duration, operating and hemodinamic room costs, was gather. A database containing the costs from the institution unitary costs system in force was designed.


RESULTS
sociodemographyc characteristics were similar in both groups. Ductus size was larger in patients treated with surgery (p<0.05). In hospital stay, as well as, the number of complications after the procedure were less in the patients treated with transcatheter occlusion (p<0.05). The closure with Amplatzer device was more expensive than the surgical one, and both were more expensive than coil. With surgical treatment, 86.5% of the costs are due to in hospital stay, with the Amplatzer this issues represented a 36%, however, the cost of the devices by itself represents a 40% of the total treatment cost.


CONCLUSIONS
Even though total charges of Amplatzer devices are more expensive than surgery, transcatheter occlusion represents advantages in relation to less in hospital stay, resources used and number of complications, which allows hospital resources optimization.
Vázquez-Antona
Clara A
CA
Departamento de Ecocardiografía, Instituto Nacional de Cardiología Ignacio Chávez, México. cvazquezant@yahoo.com.mx
Vallejo
Maite
M
Becerra
Rosario Becerra
RB
González
Aída
A
Hernández
Alfonso Buendía
AB
Barrón
Jesús Vargas
JV
D006328:Cardiac Catheterization / Q000191:economics; D006348:Cardiac Surgical Procedures / Q000191:economics* / Q000379:methods; D002648:Child; D002675:Child, Preschool; D003365:Costs and Cost Analysis; D004374:Ductus Arteriosus, Patent / Q000175:diagnosis / Q000191:economics* / Q000601:surgery*; D005260:Female; D017721:Hospital Costs / Q000706:statistics & numerical data*; D006779:Hospitals, Public / Q000191:economics*; D006801:Humans; D007902:Length of Stay; D008297:Male; D019736:Prostheses and Implants / Q000191:economics; D012189:Retrospective Studies; D012959:Socioeconomic Factors; D016896:Treatment Outcome