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. 2012;12 Suppl 1(Suppl 1):S3.
doi: 10.1186/1471-2482-12-S1-S3. Epub 2012 Nov 15.

Diverticular disease hospital cost impact analysis: evaluation of testings and surgical procedures in inpatient and outpatient admissions

Giovanni Aprea  1 , Antonio Giugliano, Alfonso Canfora, Fabrizio Cardin, Antonio Ferronetti, Francesco Guida, Antonio Braun, Melania Battaglini Ciciriello, Federica Tovecci, Giovanni Mastrobuoni, Bruno Amato
Affiliations

Diverticular disease hospital cost impact analysis: evaluation of testings and surgical procedures in inpatient and outpatient admissions

Giovanni Aprea et al. BMC Surg. 2012.

Abstract

Background: Diverticular Disease (DD) is a common condition in Italy and in other western countries. There is not much data concerning DD's impact on budget and activity in hospitals.

Methods: The aim is to detect the clinical workload and the financial impact of diverticular disease in hospitals.Retrospective observational study of all patients treated for diverticular disease during the period of seven years in AOU Federico II. Analysis of inpatient and outpatient investigations, treatment, hospitalization and financial refunds.

Results: A total of 738 patients were treated and 840 hospital discharge records were registered. There were a total number of 4101 hospitalization days and 753 outpatient accesses. The investigations generated were 416 endoscopies, 197 abdominal CT scans, 177 abdominal ultrasound scans, 109 X-rays tests. A total of 193 surgical operations were performed. The total cost of this activity was € 1.656.802 or 0.2% of the total budget of the hospital. € 1.346.218, were attributable to the department of general surgery, 0.9% of the department's budget .

Conclusions: The limited impact of diverticular disease on the budget and activity of AOU Federico II of Naples is mainly due to the absence of an emergency department.

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Figures

Figure 1
Figure 1
Diverticular disease’s regular admission distribution in AOU Federico II di Napoli in the period 2004-2010.
Figure 2
Figure 2
Diverticular disease’s day hospital admission distribution in AOU Federico II di Napoli in the period 2004-2010.
Figure 3
Figure 3
Period 2004-2010, data grouped for department: in dark ratio between DD’s regular accesses and overall regular accesses; in light ratio between DD’s day hospitals and overall day hospitals.
Figure 4
Figure 4
Examinations performed for DD in AOU Federico II di Napoli in the period 2004-2010.
Figure 5
Figure 5
Ratio between DD’s economic refund and overall refund for singular department in the period 2004-2010.
See this image and copyright information in PMC

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