The appendicitis scores may be useful in reducing the costs of treatment for right lower quadrant pain

KARABULUT, KORAY; YUR, Mesut; İLHAN, Yavuz Selim; Bülbüller, Nurullah; AYGEN, ERHAN; Kırkıl, Cüneyt; BİNNETOĞLU, Kenan

The appendicitis scores may be useful in reducing the costs of treatment for right lower quadrant pain

Cüneyt KIRKIL, (Fırat Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Elazığ, Türkiye)

Koray KARABULUT, (Fırat Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Elazığ, Türkiye)

Erhan AYGEN, (Fırat Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Elazığ, Türkiye)

Yavuz Selim İLHAN, (Fırat Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Elazığ, Türkiye)

Mesut YUR, (Fırat Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Elazığ, Türkiye)

Kenan BİNNETOĞLU, (Fırat Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Elazığ, Türkiye)

Nurullah BÜLBÜLLER (Sağlık Bakanlığı, Antalya Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, Antalya, Türkiye)

Ulusal Travma ve Acil Cerrahi Dergisi

2 0

Yıl: 2013 Cilt: 19 Sayı: 1 Sayfa Aralığı: 13 - 19 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

The appendicitis scores may be useful in reducing the costs of treatment for right lower quadrant pain

Öz:

Amaç: Sağ alt kadran (SAK) ağrısı olan hastaların gereksiz hastane yatışları ve bnegatif apendektomiler tedavi giderlerini artırır. Bu çalışmada, apandisit skorlama sistemlerinin tedavi maliyetine etkisini değerlendirmeyi amaçlandı. Gereç ve Yöntem: Bir yıl içinde SAK ile hastanemiz genel cerrahi kliniğine kabul edilen hastaların kayıtları incelendi. Alvarado ve Lintula skorları hesaplandı. Ameliyat kararı vermede skorlama önerileri kullanılmış olsaydı tedavi giderlerini saptamak için bir benzetim çalışması düzenlendi. Bulgular: 114 hastanın 64’üne (%56) apendektomi yapıldı. Negatif apendektomi oranı %17.2 idi. Alvarado ve Lintula skorlarının “yatış” ve “tedavi” kararı vermedeki genel doğruluk oranları sırasıyla %82.7 ve %91.9 idi (p=0.102). Hastaların tümü için toplam tedavi maliyeti 39,655 $ idi. Alvarado ve Lintula skorları kullanılmış olsaydı toplam tedavi giderleri sırasıyla 34,087 $ ve 25,772 $ (p=0.015 ve p=0.000); negatif apendektomi oranları %18.5 ve %3.6 olacaktı. Sonuç: Alvarado ve Lintula skorlarının hastaneye kabul ve apendektomi kararı için kullanılması akut SAK ağrısı için tedavi giderlerini düşürecektir.

Anahtar Kelime:

Konular: Cerrahi

Apandisit skorları, sağ alt kadran ağrısı için tedavi maliyetlerini düşürmede faydalı olabilir

Öz:

Background: Unnecessary hospital admissions and negative appendectomies increase healthcare costs of patients with right lower quadrant (RLQ) pain. This study aimed to evaluate the impact on the cost of treatment in appendicitis scoring systems. Methods: Charts were reviewed of patients admitted to the general surgery ward of our hospital with RLQ pain within a year. Alvarado and Lintula scores were calculated and a simulation was performed to determine the treatment charges which would have been generated had the scoring recommendations been used for admission and surgical decision-making. Results: Of the 114 admitted patients, 64 patients (56%) underwent appendectomy. The rate of negative appendectomy was 17.2 per cent. The overall accuracy rates of the Alvarado and Lintula scores for both ‘admit’ and ‘operate’ decision-making were 82.7 and 91.9%, respectively (p=0.102). Total charges for the 114 patients were $39,655. If the Alvarado or Lintula scores had been used, the total treatment charges would have been $34,087 and $25,772 (p=0.015 and p=0.000), with negative appendectomy rates of 18.5% and 3.6%, respectively. Conclusion: The implementation of Alvarado and Lintula scores for the decision of hospital admission and appendectomy would have reduced overall treatment charges for acute RLQ pain.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Kırkıl C, KARABULUT K, AYGEN E, İLHAN Y, YUR M, BİNNETOĞLU K, Bülbüller N (2013). The appendicitis scores may be useful in reducing the costs of treatment for right lower quadrant pain. , 13 - 19.
Chicago	Kırkıl Cüneyt,KARABULUT KORAY,AYGEN ERHAN,İLHAN Yavuz Selim,YUR Mesut,BİNNETOĞLU Kenan,Bülbüller Nurullah The appendicitis scores may be useful in reducing the costs of treatment for right lower quadrant pain. (2013): 13 - 19.
MLA	Kırkıl Cüneyt,KARABULUT KORAY,AYGEN ERHAN,İLHAN Yavuz Selim,YUR Mesut,BİNNETOĞLU Kenan,Bülbüller Nurullah The appendicitis scores may be useful in reducing the costs of treatment for right lower quadrant pain. , 2013, ss.13 - 19.
AMA	Kırkıl C,KARABULUT K,AYGEN E,İLHAN Y,YUR M,BİNNETOĞLU K,Bülbüller N The appendicitis scores may be useful in reducing the costs of treatment for right lower quadrant pain. . 2013; 13 - 19.
Vancouver	Kırkıl C,KARABULUT K,AYGEN E,İLHAN Y,YUR M,BİNNETOĞLU K,Bülbüller N The appendicitis scores may be useful in reducing the costs of treatment for right lower quadrant pain. . 2013; 13 - 19.
IEEE	Kırkıl C,KARABULUT K,AYGEN E,İLHAN Y,YUR M,BİNNETOĞLU K,Bülbüller N "The appendicitis scores may be useful in reducing the costs of treatment for right lower quadrant pain." , ss.13 - 19, 2013.
ISNAD	Kırkıl, Cüneyt vd. "The appendicitis scores may be useful in reducing the costs of treatment for right lower quadrant pain". (2013), 13-19.

APA	Kırkıl C, KARABULUT K, AYGEN E, İLHAN Y, YUR M, BİNNETOĞLU K, Bülbüller N (2013). The appendicitis scores may be useful in reducing the costs of treatment for right lower quadrant pain. Ulusal Travma ve Acil Cerrahi Dergisi, 19(1), 13 - 19.
Chicago	Kırkıl Cüneyt,KARABULUT KORAY,AYGEN ERHAN,İLHAN Yavuz Selim,YUR Mesut,BİNNETOĞLU Kenan,Bülbüller Nurullah The appendicitis scores may be useful in reducing the costs of treatment for right lower quadrant pain. Ulusal Travma ve Acil Cerrahi Dergisi 19, no.1 (2013): 13 - 19.
MLA	Kırkıl Cüneyt,KARABULUT KORAY,AYGEN ERHAN,İLHAN Yavuz Selim,YUR Mesut,BİNNETOĞLU Kenan,Bülbüller Nurullah The appendicitis scores may be useful in reducing the costs of treatment for right lower quadrant pain. Ulusal Travma ve Acil Cerrahi Dergisi, vol.19, no.1, 2013, ss.13 - 19.
AMA	Kırkıl C,KARABULUT K,AYGEN E,İLHAN Y,YUR M,BİNNETOĞLU K,Bülbüller N The appendicitis scores may be useful in reducing the costs of treatment for right lower quadrant pain. Ulusal Travma ve Acil Cerrahi Dergisi. 2013; 19(1): 13 - 19.
Vancouver	Kırkıl C,KARABULUT K,AYGEN E,İLHAN Y,YUR M,BİNNETOĞLU K,Bülbüller N The appendicitis scores may be useful in reducing the costs of treatment for right lower quadrant pain. Ulusal Travma ve Acil Cerrahi Dergisi. 2013; 19(1): 13 - 19.
IEEE	Kırkıl C,KARABULUT K,AYGEN E,İLHAN Y,YUR M,BİNNETOĞLU K,Bülbüller N "The appendicitis scores may be useful in reducing the costs of treatment for right lower quadrant pain." Ulusal Travma ve Acil Cerrahi Dergisi, 19, ss.13 - 19, 2013.
ISNAD	Kırkıl, Cüneyt vd. "The appendicitis scores may be useful in reducing the costs of treatment for right lower quadrant pain". Ulusal Travma ve Acil Cerrahi Dergisi 19/1 (2013), 13-19.