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Safety and economic analysis controlled ambient surgery cabin for minor ophthalmic surgery procedures

Session Details

Session Title: New drug treatment and technology

Session Date/Time: Friday 27/09/2013 | 14:30-16:00

Paper Time: 15:26

Venue: Hall 3 (Level 0)

First Author: R.Gallego-Pinazo SPAIN

Co Author(s):    R. Dolz-Marco   M. Andreu-Fenoll   D. Salom   S. Mart?nez-Castillo     

Abstract Details

Purpose:

to evaluate the safety and economic profitability of the controlled ambient surgery cabin (ArcSteril; Carl Zeiss Meditec, Inc., Jena, Germany) for outpatient ophthalmic surgery.

Setting:

University and Polytechnic Hospital La Fe. Valencia, Spain

Methods:

Comparative, observational, retrospective study of conventional minor surgery procedures (chalazion, pterygia, intravitreal injections and others) performed in a conventional operating room and in the ArcSteril. Cataract surgeries, vitrectomies and keratoplasties were excluded from the analysis. The studied variables were: number of treated patients, cost per procedure, and frequency of ocular infections.

Results:

1736 surgical procedures were performed in the conventional operating room, and 1851 surgical procedures were performed in the ArcSteril. The cost per hour of surgery was 142.50€ in the conventional operating room, and 30.50€ with the ArcSteril. The calculated cost per procedure was 137.87 € in the conventional operating room, and 27.84 € with the ArcSteril. Therefore, the use of the ArcSteril had an economic benefit of 110.03 € per patient, and an overall benefit of 203665.53€ (110.03 of 1851 patients). No differences were observed with regard to the rate of ocular infections between both groups, which was below 0.1%.

Conclusions:

The use of the ArcSteril for outpatient ophthalmic minor surgery may be similar in terms of security and better in terms of economic benefit than the conventional operating room.

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