Ultrasonography improves diagnostic accuracy of acute appendicitis and provides cost savings to hospitals in Japan.
2000; Wiley; Volume: 19; Issue: 6 Linguagem: Inglês
10.7863/jum.2000.19.6.409
ISSN1550-9613
AutoresYasutomo Fujii, Jiro Hata, K. Futagami, Takeomi Hamada, Hiroshi Mitsuoka, Kazushi Teramen, Gen Konemori, K Suenaga,
Tópico(s)Ultrasound in Clinical Applications
ResumoJournal of Ultrasound in MedicineVolume 19, Issue 6 p. 409-414 Article Ultrasonography improves diagnostic accuracy of acute appendicitis and provides cost savings to hospitals in Japan. Y Fujii, Y Fujii Department of Gastroenterology, Miyoshi General Hospital, Hiroshima, Japan.Search for more papers by this authorJ Hata, J Hata Department of Gastroenterology, Miyoshi General Hospital, Hiroshima, Japan.Search for more papers by this authorK Futagami, K Futagami Department of Gastroenterology, Miyoshi General Hospital, Hiroshima, Japan.Search for more papers by this authorT Hamada, T Hamada Department of Gastroenterology, Miyoshi General Hospital, Hiroshima, Japan.Search for more papers by this authorH Mitsuoka, H Mitsuoka Department of Gastroenterology, Miyoshi General Hospital, Hiroshima, Japan.Search for more papers by this authorK Teramen, K Teramen Department of Gastroenterology, Miyoshi General Hospital, Hiroshima, Japan.Search for more papers by this authorG Konemori, G Konemori Department of Gastroenterology, Miyoshi General Hospital, Hiroshima, Japan.Search for more papers by this authorK Suenaga, K Suenaga Department of Gastroenterology, Miyoshi General Hospital, Hiroshima, Japan.Search for more papers by this author Y Fujii, Y Fujii Department of Gastroenterology, Miyoshi General Hospital, Hiroshima, Japan.Search for more papers by this authorJ Hata, J Hata Department of Gastroenterology, Miyoshi General Hospital, Hiroshima, Japan.Search for more papers by this authorK Futagami, K Futagami Department of Gastroenterology, Miyoshi General Hospital, Hiroshima, Japan.Search for more papers by this authorT Hamada, T Hamada Department of Gastroenterology, Miyoshi General Hospital, Hiroshima, Japan.Search for more papers by this authorH Mitsuoka, H Mitsuoka Department of Gastroenterology, Miyoshi General Hospital, Hiroshima, Japan.Search for more papers by this authorK Teramen, K Teramen Department of Gastroenterology, Miyoshi General Hospital, Hiroshima, Japan.Search for more papers by this authorG Konemori, G Konemori Department of Gastroenterology, Miyoshi General Hospital, Hiroshima, Japan.Search for more papers by this authorK Suenaga, K Suenaga Department of Gastroenterology, Miyoshi General Hospital, Hiroshima, Japan.Search for more papers by this author First published: 01 June 2000 https://doi.org/10.7863/jum.2000.19.6.409Citations: 23AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Abstract A cost analysis based on changes in patient care was used to evaluate the utility of abdominal ultrasonography in both the clinical management of patients clinically suspected of having acute appendicitis and in reducing expenditure of hospital resources. Among the 200 patients suspected of having acute appendicitis, 57 actually had acute appendicitis. Interpretation of appendiceal ultrasonographic results was 98.5% accurate. The ultrasonographic result led to changes in the treatment of 103 patients. Moreover, ultrasonography led to the prevention of unnecessary appendectomy in 25 patients, providing a savings to the hospital of about Yen 8,013,450 ($65,150), and prevented unnecessary hospital admission for 78 patient-days, thus saving the hospital approximately Yen 1,199,250 ($9750). The cost of performing the 200 ultrasonographic examinations was about Yen 1,096,176 ($8912), and thus the overall savings to the hospital was approximately Yen 40,590 ($330) per patient. Ultrasonography performed in patients with suspected acute appendicitis improves patient diagnostic accuracy, thus leading to more appropriate selection of patient treatment and reduced hospital expenditure. Citing Literature Volume19, Issue6Jun 2000Pages 409-414 RelatedInformation
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