NDLI: The cost of open heart surgery in Nigeria.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Falase, Bode Sanusi, Michael Majekodunmi, Adetinuwe Ajose, Ifeoluwa Idowu, Ariyo Oke, David
Spatial Coverage	Nigeria
Description	Country affiliation: Nigeria Author Affiliation: Falase B ( Cardiothoracic Division, Lagos State University College of Medicine, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria.)
Abstract	INTRODUCTION: Open Heart Surgery (OHS) is not commonly practiced in Nigeria and most patients who require OHS are referred abroad. There has recently been a resurgence of interest in establishing OHS services in Nigeria but the cost is unknown. The aim of this study was to determine the direct cost of OHS procedures in Nigeria. METHODS: The study was performed prospectively from November to December 2011. Three concurrent operations were selected as being representative of the scope of surgery offered at our institution. These procedures were Atrial Septal Defect (ASD) Repair, Off Pump Coronary Artery Bypass Grafting (OPCAB) and Mitral Valve Replacement (MVR). Cost categories contributing to direct costs of OHS (Investigations, Drugs, Perfusion, Theatre, Intensive Care, Honorarium and Hospital Stay) were tracked to determine the total direct cost for the 3 selected OHS procedures. RESULTS: ASD repair cost \$ 6,230 (Drugs \$600, Intensive Care \$410, Investigations \$955, Perfusion \$1080, Theatre \$1360, Honorarium \$925, Hospital Stay \$900). OPCAB cost \$8,430 (Drugs \$740, Intensive Care \$625, Investigations \$3,020, Perfusion \$915, Theatre \$1305, Honorarium \$925, Hospital Stay \$900). MVR with a bioprosthetic valve cost \$11,200 (Drugs \$1200, Intensive Care \$500, Investigations \$3040, Perfusion \$1100, Theatre \$3,535, Honorarium \$925, Hospital Stay \$900). CONCLUSION: The direct cost of OHS in Nigeria currently ranges between \$6,230 and \$11,200. These costs compare favorably with the cost of OHS abroad and can serve as a financial incentive to patients, sponsors and stakeholders to have OHS procedures done in Nigeria.
File Format	HTM / HTML
e-ISSN	19378688
DOI	10.11604/pamj.2013.14.61.2162
Journal	Pan African Medical Journal
Volume Number	14
Language	English
Publisher	African Field Epidemiology Network
Publisher Date	2013-01-01
Publisher Place	Uganda
Access Restriction	Open
Subject Keyword	Discipline Medicine Cardiac Surgical Procedures Utilization Coronary Artery Bypass, Off-pump Drug Costs Statistics & Numerical Data Equipment And Supplies, Hospital Fees, Medical Health Expenditures Heart Septal Defects, Atrial Surgery Heart Valve Prosthesis Implantation Hospital Costs Hospitalization Hospitals, University Length Of Stay Mitral Valve Nigeria Operating Rooms Pilot Projects
Content Type	Text
Resource Type	Article

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in