|
Titulo |
Transanastomotic tubes reduce the cost of nutritional support in neonates with congenital duodenal obstruction. |
|
Autoría |
Harwood R, Horwood F, Tafilaj V, Craigie RJ. |
|
Fuente |
Pediatr Surg Int. 2019 Apr;35(4):457-461. doi: 10.1007/s00383-018-4411-5. Epub 2018 Nov 11. |
|
Resumen |
PURPOSE:
To determine the impact of intra-operative Trans-anastomotic Tube (TAT) placement on the cost of post-operative nutrition in infants with congenital duodenal obstruction (CDO).
METHODS:
A retrospective analysis of patients undergoing corrective surgery for CDO, with birth-weight over 1.5 kg over a 10-year period. Data are presented as median (inter-quartile range) and analysed with Mann-Whitney U test and Fisher's exact test as appropriate.
RESULTS:
59 patients were included. There was no difference between TAT and non-TAT groups for baseline characteristics, age at operation and abnormality. In the TAT group there was a significant reduction in the duration of post-operative parenteral nutrition (PN) [6 (0-11) vs 12 (8-19) days, p = 0.006], the cost of PN [£750 (0-1375) vs £1500 (1000-2375), p = 0.006] and the total cost of nutrition [£765.26 (38.36-1404) vs £1387.52 (1008.23-2363.08), p = 0.015], thereby demonstrating a median cost saving of £622.26 per patient. 14% experienced TAT displacement but no other TAT complications were encountered.
CONCLUSION:
The use of a TAT is a safe and effective way to reduce the duration of PN required in patients with CDO. This infers a significant cost saving per patient, a factor that cannot be overlooked in this period of austerity. |
|
URL |
www.ncbi.nlm.nih.gov/pubmed/30417229 |
