全球心脏外科的低成本创新。

Hera Jamil, Sruthi Ranganathan, Aemon B Fissha, Eric E Vinck, Dominique Vervoort
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引用次数: 0

摘要

心血管疾病是全球发病率和死亡率的主要原因,每年导致 1800 万人丧生,其中高达三分之一的人死于心脏外科疾病。约有 60 亿人无法获得安全、及时和负担得起的心脏手术治疗,这主要影响到中低收入国家的人口。心脏外科护理成本高昂,因此在资源多变的环境中,很少有中心能够持续运营或拥有在资源较丰富环境中观察到的资源。因此,可能会正式开发或非正式采用创新技术,以绕过资源限制,确保提供护理服务。在心脏外科护理的各个环节和各种环境中都可以看到创新的身影,这些创新可能会惠及高收入国家和中低收入国家,前者日益增长的医疗费用已变得难以为继,而后者相互竞争的健康议程可能会限制对心脏外科的投资。这篇叙述性综述试图探讨心脏外科手术的相关成本,重点是围手术期和术后护理方面的节俭创新。
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Low-Cost Innovations in Global Cardiac Surgery.

Cardiovascular diseases are the leading cause of morbidity and mortality worldwide, costing the lives of 18 million people annually, with up to one-third being attributable to cardiac surgical conditions. Approximately 6 billion people do not have access to safe, timely, and affordable cardiac surgery, predominantly affecting populations living in low-middle income countries. Cardiac surgical care is costly, resulting in few centers in variable-resource contexts operating continuously or with the resources observed in higher-resource environments. As a result, innovations may be formally developed or informally adopted to bypass resource constraints and ensure care delivery. Innovations have been observed across the cardiac surgical care continuum and across settings, potentially benefiting both high-income countries, where growing health care costs are becoming unsustainable, and low- and middle-income countries, where competing health agendas may limit investments into cardiac surgery. This narrative review attempts to address the costs associated with cardiac surgery, placing an emphasis on frugal innovations in the perioperative and postoperative care spectrum.

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来源期刊
CiteScore
2.00
自引率
6.70%
发文量
80
期刊介绍: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery is the first journal whose main mission is to disseminate information specifically about advances in technology and techniques that lead to less invasive treatment of cardiothoracic and vascular disease. It delivers cutting edge original research, reviews, essays, case reports, and editorials from the pioneers and experts in the field of minimally invasive cardiothoracic and vascular disease, including biomedical engineers. Also included are papers presented at the annual ISMICS meeting. Official Journal of the International Society for Minimally Invasive Cardiothoracic Surgery
期刊最新文献
Minimally Invasive Video-Assisted Surgery for Concomitant Ascending Aorta and Aortic Valve Replacement via Right Infra-Axillary Thoracotomy. Results of Vertical Infra-Axillary Thoracotomy for Total Repair of Tetralogy of Fallot. The 10 Commandments for the Ross Procedure. Dealing With the Aortic Annulus: Surgical Aortic Annulus Enlargement With a Balloon Catheter. A Risk Prediction Model for Prolonged Length of Stay After Minimally Invasive Valve Surgery.
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