Skip to main content

Table 2 Mean use of resources and costs in the on-demand and planned-relaparotomy groups during index admission and follow-up until 1 year after randomization

From: Costs of relaparotomy on-demand versus planned relaparotomy in patients with severe peritonitis: an economic evaluation within a randomized controlled trial

   OD (n = 114) PR (n = 115) Difference (PR-OD)
  Unit Mean
volume
Mean
costs p.p. (€)
Mean
volume
Mean
costs p.p.(€)
Mean
costs p.p. (€)
Direct medical costs       
Index admission       
   Admission       
   Ward stay, index (excl ICU) Day 26 11,609 27 11,784 175
   ICU stay Day 12 21,040 18 31,248 10,208
   Interventions       
   (re)Laparotomy       
   Index laparotomy Procedure 1.0 2,267 1.0 2,267 0
   Second-look Procedure 0.62 1,139 1.5 2,831 1,692
   with other surgical procedures Procedure 0.37 1,211 0.47 1,543 332
   Percutaneous drainage Procedure 0.41 123 0.67 199 84
   Diagnostic CT and cultures       
   CT Procedure 1.2 302 1.4 341 39
   Microbiology Cultures 43 586 58 792 206
   Medication and other materials       
   Antibiotic therapy (excl ICU) Day 6.0 474 6.1 619 145
   Enterostomy careb Day 24 741 29 917 176
   Blood products Unit 0.61 89 1.04 178 89
   Mechanical ventilation Day 8.3 3,080 12 4,360 1,280
SUBTOTAL    42,661   57,079 14,418
Follow-up       
   OD (n = 112) PR (n = 113)  
   Inpatient care       
   Ward stay, follow up Day 9.5 4,280 11.8 5,083 803
   Elective surgery Procedure 0.39 875 0.51 1,163 288
   Percutaneous drainage Procedure 0.08 24 0.11 32 84
   Outpatient care       
   Specialist consultationa Visit 16.3 1,297 16.7 1,333 36
   CT abdomen Procedure 0.07 18 0.03 7 -11
   US abdomen Procedure 0.05 5 0.03 2 -2
   Plain radiograph Procedure 0.18 8 0.12 5 -3
   Enterostomy careb Day 140 4,449 150 4,767 318
   Other health care providers       
   Primary care physiciana Visit 9.4 194 8.5 175 -19
   Company doctora Visit 1.8 42 1.4 31 -10
   Paramedical specialista Visit 29 675 29 667 -7
   District nursea Hour 45 1,836 71 2,947 1,111
   Rehabilitation centera Day 19 6,480 23 8,040 1,560
SUBTOTAL    20,183   24,252 4,069
Direct nonmedical costs       
   Travel costsa Km 395 71 393 71 0
Indirect costs       
   Absence from paid worka Day 70 2,854 50 2,048 -806
Total costs (€)    65,768   83,450 17,682
  1. aPR n = 74/OD n = 76: number of patients on whom analyses are based. Average costs per patients per day outside the hospital within each arm were extrapolated to patients for whom this information was not available. bPR n = 53 patients with enterostomy; OD n = 49 patients with enterostomy; volume, average amount of resources used per patient; total costs, total costs of resource use of all patients; mean costs, average cost per patient; difference, difference between PR and OD (positive values in favor of OD).