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