413 Decreases in resource use after implementing a management program for patients with placenta accreta spectrum

Abstract

Placenta accreta spectrum (PAS) often causes severe morbidity and demands the availability of abundant health resources. Research has shown that the participation of experienced interdisciplinary groups in specialized centers improves clinical outcomes. Our objective is to measure resource use variation after implementing an interdisciplinary management program for this condition Using detailed billing information, hospital care resource use was measured at constant prices for women with PAS who were treated between 2011 and 2019. Cases were classified before (Group 1) and after (Group 2) the implementation of the program. A third group included women with intraoperative MAP findings (Group 3). Comparisons were made using descriptive statistics. The mean reduction in resource use after the program was 16.5% per patient. The program also reduced variability in resource use as measured by the standard deviation and the coefficient of variation, which decreased by 55.2% and 46.3%, respectively. (Table 1). The components of care that decreased their use were drugs (-70.8%), hospital stay (-36%), supplies (-36.1%), laboratories (-34.9%), blood products (-22.9%) and room operations (-8.7%). Surgeons' fees were intentionally increased by 27.5%, so that the analysis of resource consumption, eliminating this last item, showed a reduction of 36.2% ( Table 2). The interdisciplinary management of patients affected by MAP in experienced hospitals is associated with a reduction in resource use and its variabilityView Large Image Figure ViewerDownload Hi-res image Download (PPT)