Open AccessEconomic analysis of the use of video laryngoscopy versus direct laryngoscopy in the surgical setting
Author(s) -
Jianying Zhang,
Wei Jiang,
Felipe Urdaneta
Publication year - 2021
Publication title -
journal of comparative effectiveness research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.567
H-Index - 23
eISSN - 2042-6313
pISSN - 2042-6305
DOI - 10.2217/cer-2021-0068
Subject(s) - medicine , laryngoscopy , intensive care unit , laryngoscopes , anesthesia , intubation , odds ratio , airway , tracheal intubation , elective surgery , tracheal tube , emergency medicine , surgery , intensive care medicine
Aim: Compared with direct laryngoscopy (DL), video laryngoscopy (VL) offers clinical benefits in routine and difficult airways. The health economic benefit of VL versus DL for routine tracheal intubation remains unknown. Materials & methods: This analysis compared VL and DL health economic outcomes, including total inpatient costs, length of hospital stay (LOS), postoperative intensive care unit (ICU) admission and incidence of procedurally associated complications. Results: Patients with VL had decreased inpatient cost (US$1144–5891 across eight major diagnostic categories [MDC]); >1-day LOS reduction in five MDC; reduced odds for postoperative ICU admission (0.04–0.68) and reduced odds of respiratory complications in three MDC (0.43–0.90). Conclusion: Video laryngoscopy may lower total costs, reduce LOS and decrease the likelihood of postoperative ICU admission.