Congenital heart disease

Experience Curve With the Cone Procedure for Ebstein’s Anomaly: Effect on Cost and Resource Utilization

JACC AdvPublished Retrospective cohort study

Authors' conclusion

Increasing familiarity with Ebstein's anomaly and Cone reconstruction led to a reduction in resource utilization.

Study context

Population
Patients undergoing Cone reconstruction for Ebstein's anomaly at Boston Children's Hospital, October 2010–October 2021
Participants
115 patients
Outcome
Effect of experience on cost and resource utilization (LOS, cost, bypass and cross clamp times over time)
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Median hospital length of stay 7.9 days (IQR 6.4-10.2 days)

decline of 3.3% per year

Median ICU length of stay 3.2 days (IQR 2-5.7 days)

decline of 10.5% per year

Adjusted direct costs indexed to 2020 prices

fell by 4% per year

Observational data: associations, not effects.

Further findings

Mediation analysis of cost

Cost reduction completely accounted for by decline in ICU length of stay
ICU length of stay correlated with duration of intubation

Original publication

Experience Curve With the Cone Procedure for Ebstein’s Anomaly: Effect on Cost and Resource Utilization. JACC Adv. Published 13 July 2024. doi:10.1016/j.jacadv.2024.101104

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