동시 및 순차적 양측 인공와우 이식술의 시간 및 비용 비교
Comparison of Time and Cost between Sequential and Simultaneous Bilateral Cochlear Implants
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Background and Objectives Purpose of this study is to compare the cost-effectiveness between sequential (SeqBCI) and simultaneous bilateral cochlear implantations (SimBCI). Subjects and Method This is a retrospective study of 15 patients who underwent bilateral cochlear implantations at a tertiary care facility. Nine patients with SimBCI and six with SeqBCI were included. Operation time, anesthesia time, expenses for preoperative evaluation, hospitalization time, hospital expenses and postoperative expenses were investigated. Results The 1st, 2nd and cumulative operation time for the SeqBCI group were 181, 120 and 301 minutes, respectively, on the average. The 1st, 2nd and cumulative anesthesia time were 212, 162 and 373 minutes, respectively. The 1st, 2nd and cumulative expenses for preoperative evaluation were 1074754, 280118 and 1354872 won, respectively. The 1st, 2nd and total hospitalization time were 6.2, 4.2 and 10.4 days, respectively. The 1st, 2nd and cumulative hospital expenses were 24082713, 24158366 and 48176734 won, respectively. The 1st, 2nd and cumulative postoperative expenses were 447830, 551778 and 999608 won, respectively. For the SimBCI group, the operation time, anesthesia time, expenses for evaluation, hospitalization time, hospital expenses and postoperative expenses were 246, 280 minutes, 1396793 won, 6.2 days, 46073011 and 816121 won, respectively. On the whole, anesthesia time, hospitalization time and postoperative expenses of the SimBCI group were less than those of the SeqBCI group (p=0.01, 0.02 and 0.02, respectively). The postoperative expenses of SeqBCI were the highest during the first 4 months whereas those of SimBCI were less during the same period (p=0.03). Conclusion Cumulative anesthesia time, hospitalization time and postoperative cost of SimBCI were less than those of SeqBCI. Our results may be useful for counseling the timing of second CI.
Abstract
Background and Objectives Purpose of this study is to compare the cost-effectiveness between sequential (SeqBCI) and simultaneous bilateral cochlear implantations (SimBCI). Subjects and Method This is a retrospective study of 15 patients who underwent bilateral cochlear implantations at a tertiary care facility. Nine patients with SimBCI and six with SeqBCI were included. Operation time, anesthesia time, expenses for preoperative evaluation, hospitalization time, hospital expenses and postoperative expenses were investigated. Results The 1st, 2nd and cumulative operation time for the SeqBCI group were 181, 120 and 301 minutes, respectively, on the average. The 1st, 2nd and cumulative anesthesia time were 212, 162 and 373 minutes, respectively. The 1st, 2nd and cumulative expenses for preoperative evaluation were 1074754, 280118 and 1354872 won, respectively. The 1st, 2nd and total hospitalization time were 6.2, 4.2 and 10.4 days, respectively. The 1st, 2nd and cumulative hospital expenses were 24082713, 24158366 and 48176734 won, respectively. The 1st, 2nd and cumulative postoperative expenses were 447830, 551778 and 999608 won, respectively. For the SimBCI group, the operation time, anesthesia time, expenses for evaluation, hospitalization time, hospital expenses and postoperative expenses were 246, 280 minutes, 1396793 won, 6.2 days, 46073011 and 816121 won, respectively. On the whole, anesthesia time, hospitalization time and postoperative expenses of the SimBCI group were less than those of the SeqBCI group (p=0.01, 0.02 and 0.02, respectively). The postoperative expenses of SeqBCI were the highest during the first 4 months whereas those of SimBCI were less during the same period (p=0.03). Conclusion Cumulative anesthesia time, hospitalization time and postoperative cost of SimBCI were less than those of SeqBCI. Our results may be useful for counseling the timing of second CI.
참고문헌 (16)
- Peters BR, "Worldwide trends in bilateral cochlear implantation", Laryngoscope, 120(Suppl 2), pp.S17~S44 (2010)
- Basura GJ, "Bilateral cochlear implantation: current concepts, indications, and results", Laryngoscope, 119(12), pp.2395~2401 (2009)
- Steffens T, "The benefits of sequential bilateral cochlear implantation for hearing-impaired children", Acta Otolaryngol, 128(2), pp.164~176 (2008)
- Grieco-Calub TM, "Sound localization skills in children who use bilateral cochlear implants and in children with normal acoustic hearing", Ear Hear, 31(5), pp.645~656 (2010)
- Van Deun L, "Earlier intervention leads to better sound localization in children with bilateral cochlear implants", Audiol Neurootol, 15(1), pp.7~17 (2010)
- Scherf F, "Hearing benefits of second-side cochlear implantation in two groups of children", Int J Pediatr Otorhinolaryngol, 71(12), pp.1855~1863 (2007)
- Zeitler DM, "Speech perception benefits of sequential bilateral cochlear implantation in children and adults: a retrospective analysis", Otol Neurotol, 29(3), pp.314~325 (2008)
- Van Deun L, "Spatial speech perception benefits in young children with normal hearing and cochlear implants", Ear Hear, 31(5), pp.702~713 (2010)
- Litovsky RY, "Benefits of bilateral cochlear implants and", or hearing aids in children, 2006, pp.45(Suppl 1), S78~S91
- Gordon KA, "Benefits of short interimplant delays in children receiving bilateral cochlear implants", Otol Neurotol, 30(3), pp.319~331 (2009)
- Gordon KA, "Auditory brainstem activity in children with 9-30 months of bilateral cochlear implant use", Hear Res, 233(1-2), pp.97~107 (2007)
- Grainger J, "Simultaneous cochlear implantation in children: the Great Ormond Street experience", Cochlear Implants Int, 13(3), pp.137~141 (2012)
- Ramsden JD, "Bilateral simultaneous cochlear implantation in children: our first 50 cases", Laryngoscope, 119(12), pp.2444~2448 (2009)
- Anagiotos A, "The impact of blood loss during cochlear implantation in very young children", Eur Arch Otorhinolaryngol, 270(9), pp.2439~2444 (2013)
- Crathorne L, "A systematic review of the effectiveness and cost-effectiveness of bilateral multichannel cochlear implants in adults with severeto- profound hearing loss", Clin Otolaryngol, 37(5), pp.342~354 (2012)
- Lammers MJ, "The costutility of bilateral cochlear implantation: a systematic review", Laryngoscope, 121(12), pp.2604~2609 (2011)