Cost Analysis of Post Operative Pain Management for Surgical Patients using PCA.
- Author:
Sung Jung HONG
1
;
Eunjoo LEE
Author Information
1. Department of nursing, Semyung University, Korea.
- Publication Type:Original Article
- Keywords:
Patient controlled analgesia;
Cost;
Post operative pain
- MeSH:
Analgesia;
Analgesia, Patient-Controlled;
Analgesics;
Costs and Cost Analysis;
Hospital Costs;
Humans;
Hysterectomy;
Incidence;
Nausea;
Pain Management;
Pain, Postoperative;
Passive Cutaneous Anaphylaxis;
Pharmacy;
Tertiary Care Centers;
Vomiting
- From:Journal of Korean Academy of Fundamental Nursing
2013;20(2):137-146
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purposes of this study were to identify and compare various types of post operative pain management and the costs for pain management following 4 different types of surgery. METHODS: Data were collected from 325 medical charts which were extracted from the billing databases of a tertiary hospital and analyzed using numbers, percentages, one way ANOVA, and Scheffe test. RESULTS: For pain management, 10.5% of patients used PCA only, but the other patients combined other methods with PCA. The average length of PCA use was significantly different by operation. Almost one third (32.9%) of patients experienced at least one of side effects due to analgesics used for pain management, with highest incidence being for nausea and vomiting. For patients who underwent a total abdominal hysterectomy, 34.7% used PCA less than 2 days due to side effects of the analgesics and the ratio of analgesia cost to total hospital cost and total pharmacy cost were highest compared to other operations. CONCLUSION: The results of this study indicate a need to develop new strategies to more effectively manage postoperative pain to decrease incidences of side effects without increasing medical costs.
