Collaboration Between Interventional Neurosurgery and Vascular Surgery in the Hybrid Operating Room

Smeltzer, Henry G.; Scott, J.; Frey, Stephanie A.; Stambaugh, Betsy M.; Tancraitor, Brian J.; Jafari, Neda; Harthun, Nancy L.

doi:10.1016/j.jradnu.2014.02.002

Cited by 2 publications

(1 citation statement)

References 4 publications

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“…1 The hybrid OR claims to improve efficiency by means of reducing secondary procedures and improve surgical performance which results in improved clinical outcomes. [2][3][4][5] Hybrid ORs are currently mainly used for cardiovascular surgery, [2][3][4] but for neurosurgery 6 and surgical oncology 7 interest is increasing. The first observational studies in cardiovascular surgery verified this promising nature by showing a reduced length of stay and reduced operation time.…”

Section: Introductionmentioning

confidence: 99%

Understanding the Costs of Surgery: A Bottom-Up Cost Analysis of Both a Hybrid Operating Room and Conventional Operating Room

Patel¹,

Lindenberg

Rovers³

et al. 2020

Int J Health Policy Manag

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Background: Over the past decade, many hospitals have adopted hybrid operating rooms (ORs). As resources are limited, these ORs have to prove themselves in adding value. Current estimations on standard OR costs show great variety, while cost analyses of hybrid ORs are lacking. Therefore, this study aims to identify the cost drivers of a conventional and hybrid OR and take a first step in evaluating the added value of the hybrid OR. Methods: A comprehensive bottom-up cost analysis was conducted in five Dutch hospitals taking into account: construction, inventory, personnel and overhead costs by means of interviews and hospital specific data. The costs per minute for both ORs were calculated using the utilization rates of the ORs. Cost drivers were identified by sensitivity analyses. Results: The costs per minute for the conventional OR and the hybrid OR were €9.45 (€8.60-€10.23) and €19.88 (€16.10- €23.07), respectively. Total personnel and total inventory costs had most impact on the conventional OR costs. For the hybrid OR the costs were mostly driven by utilization rate, total inventory and construction costs. The results were incorporated in an open access calculation model to enable adjustment of the input parameters to a specific hospital or country setting. Conclusion: This study estimated a cost of €9.45 (€8.60-€10.23) and €19.88 (€16.10-€23.07) for the conventional and hybrid OR, respectively. The main factors influencing the OR costs are: total inventory costs, total construction costs, utilization rate, and total personnel costs. Our analysis can be used as a basis for future research focusing on evaluating value for money of this promising innovative OR. Furthermore, our results can inform surgeons, and decision and policy-makers in hospitals on the adoption and optimal utilization of new (hybrid) ORs.

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Section: Introductionmentioning

confidence: 99%

Understanding the Costs of Surgery: A Bottom-Up Cost Analysis of Both a Hybrid Operating Room and Conventional Operating Room

Patel¹,

Lindenberg

Rovers³

et al. 2020

Int J Health Policy Manag

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The characteristics of surgical site infection with class I incision in Neurosurgery

Li,

Gao,

Fan

2024

Preprint

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Objective: Surgical site infections (SSIs) were recognized to be the most common complication of neurological surgery, with substantial life quality threats to patients and additional cost burdens to healthcare facilities. This study sought to expound the infection characteristics of class I incision and provide clinical indication for the prevention and treatment of SSIs. Methods: A 2-year retrospective analysis was conducted according to patients who performed neurological surgery with class I incision in a tertiary comprehensive hospital in Shaanxi Province, China. Case mix index (CMI)-adjusted and national nosocomial infection surveillance (NNIS) risk index-adjusted SSI rate were utilized for analytical standardization. The SSIs were specifically analyzed according to various departments, surgeons, and surgical classifications. Findings: 6046 surgical cases were finally included in our study. The majority of the American Society of Aneshesiologists (ASA) score and NNIS risk index of surgeries were allocated in level 2 and score 1. Our study found 121 SSI cases, with the crude infection rate of 2.00%. 95.04% were organ/space infection. The most of the infection were found in the surgeries with score 1 (68.60%) of the NNIS risk index. The main surgical classification was resection of space occupying lesions (61.96%). The highest crude and NNIS risk index adjusted infection were individually found in hybrid operation (11.67%) and endoscopy-assisted resection of space occupying lesions (13.33%). 21 of 54 surgeons were found to have SSIs. We found the main pathogenic bacteria was Staphylococcus epidermidis ( 22.81%), and the commonly prophylactic used antibiotics was Cefazolin (51.95%) . Conclusion: Our study found the main infection was among surgeries with score 1 of NNIS risk index and the surgical classification of endoscopy-assisted resection of space occupying lesions. We indicated specific attention should be paid to the surgeon and surgical classification with highest infection rate to control and prevent SSIs.

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Collaboration Between Interventional Neurosurgery and Vascular Surgery in the Hybrid Operating Room

Cited by 2 publications

References 4 publications

Understanding the Costs of Surgery: A Bottom-Up Cost Analysis of Both a Hybrid Operating Room and Conventional Operating Room

Understanding the Costs of Surgery: A Bottom-Up Cost Analysis of Both a Hybrid Operating Room and Conventional Operating Room

The characteristics of surgical site infection with class I incision in Neurosurgery

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