BACKGROUND: To evaluate hospital costs and reimbursement for open (OAAA) and endovascular (EVAAA) repair of @entity1028 . STUDY DESIGN: Review of all @entity1 who underwent OAAA or EVAAA in two teaching hospitals during the period January 1, 2000, to December 31, 2000, was completed for the following: demographics, Diagnosis Related Group (DRG), resource use, length of stay, hospital costs, and reimbursement data. RESULTS: There were 130 @entity1028 performed. Fifty-seven (44%) OAAA were completed; EVAAA was attempted in 73 (56%). Seventy EVAAA @entity1 (96%) had endografts placed, and three (4%) required conversion to open repair. Significant differences were noted between OAAA and EVAAA in operative time (311.7 +/- 107.5 minutes versus 263.4 +/- 110.8 minutes, respectively, p = 0.02), ICU admission and length of stay (100%, 5.0 +/- 6.1 days versus 29%, 1.4 +/- 7.1 days, respectively, p = 0.003), and hospital length of stay (12.6 +/- 14.8 days versus 4.9 +/- 13.4 days, respectively, p = 0.002). Total costs were  17,539.00 for EVAAA and  9,042.00 for OAAA. EVAAA was profitable ( 3,072.00) for Medicare DRG 110 classification, but significant loss occurred with DRG 111 ( 5,065.00). Contract renegotiation with private payers (to cover graft costs) was necessary to avoid substantial per- @entity1 loss ( 12,108.00). Overall net per- @entity1 profit for EVAAA was  737.00. CONCLUSIONS: @entity1028 repair is significantly more expensive than open repair, with the major portion attributed to graft cost. Although ICU use and total length of stay decreased with EVAAA, overall costs were not substantially reduced. Hospitals must develop new financial strategies and improve the efficiency of their infrastructures in order to offer EVAAA.

Hospital costs for endovascular and open repair of XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity1028 :: ('MESH:D017544', 'Disease') :: ['Endovascular abdominal aortic aneurysm', 'abdominal aortic aneurysm', 'abdominal aortic aneurysm procedures']
@entity1028 :: (MESH:D017544,Disease) :: ['abdominal aortic aneurysm']
