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Potential return on investment for implementation of perioperative goal-directed fluid therapy in major surgery: a nationwide database study

Overview of attention for article published in Perioperative Medicine, October 2015
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  • Good Attention Score compared to outputs of the same age (72nd percentile)

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7 X users

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Title
Potential return on investment for implementation of perioperative goal-directed fluid therapy in major surgery: a nationwide database study
Published in
Perioperative Medicine, October 2015
DOI 10.1186/s13741-015-0021-0
Pubmed ID
Authors

Frederic Michard, William K. Mountford, Michelle R. Krukas, Frank R. Ernst, Sandy L. Fogel

Abstract

Preventable postsurgical complications are increasingly recognized as a major clinical and economic burden. A recent meta-analysis showed a 17-29 % decrease in postoperative morbidity with goal-directed fluid therapy. Our objective was to estimate the potential economic impact of perioperative goal-directed fluid therapy. We studied 204,680 adult patients from 541 US hospitals who had a major non-cardiac surgical procedure between January 2011 and June 2013. Hospital costs (including 30-day readmission costs) in patients with and without complications were extracted from the Premier Inc. research database, and potential cost-savings associated with a 17-29 % decrease in postoperative morbidity were estimated. A total of 76,807 patients developed one or more postsurgical complications (morbidity rate 37.5 %). In patients with and without complications, hospital costs were US$27,607 ± 32,788 and US$15,783 ± 12,282 (p < 0.0001), respectively. Morbidity rate was anticipated to decrease to 26.6-31.1 % with goal-directed fluid therapy, yielding potential gross cost-savings of US$153-263 million for the study period, US$61-105 million per year, or US$754-1286 per patient. Potential savings per patient were highly variable from one surgical procedure to the other, ranging from US$354-604 for femur and hip-fracture repair to US$3515-5996 for esophagectomies. When taking into account the volume of procedures, the total potential savings per year were the most significant (US$32-55 million) for colectomies. Postsurgical complications occurred in more than one third of our study population and had a dramatic impact on hospital costs. With goal-directed fluid therapy, potential cost-savings per patient were US$754-1286. The highest cost-savings per year were observed for colectomies. These projections should help hospitals estimate the return on investment when considering the implementation of goal-directed fluid therapy.

X Demographics

X Demographics

The data shown below were collected from the profiles of 7 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 34 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Spain 2 6%
United States 1 3%
Belgium 1 3%
Unknown 30 88%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 5 15%
Other 4 12%
Student > Master 4 12%
Student > Bachelor 3 9%
Student > Doctoral Student 3 9%
Other 9 26%
Unknown 6 18%
Readers by discipline Count As %
Medicine and Dentistry 18 53%
Business, Management and Accounting 2 6%
Nursing and Health Professions 1 3%
Biochemistry, Genetics and Molecular Biology 1 3%
Psychology 1 3%
Other 1 3%
Unknown 10 29%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 5. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 01 November 2015.
All research outputs
#6,762,412
of 24,609,626 outputs
Outputs from Perioperative Medicine
#90
of 264 outputs
Outputs of similar age
#79,119
of 289,429 outputs
Outputs of similar age from Perioperative Medicine
#2
of 4 outputs
Altmetric has tracked 24,609,626 research outputs across all sources so far. This one has received more attention than most of these and is in the 72nd percentile.
So far Altmetric has tracked 264 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.7. This one has gotten more attention than average, scoring higher than 65% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 289,429 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 72% of its contemporaries.
We're also able to compare this research output to 4 others from the same source and published within six weeks on either side of this one. This one has scored higher than 2 of them.