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Table 2 Pre- and postoperative differences in direct costs per patient randomised to the integrated programme, which included prehabilitation and early rehabilitation, and to the standard care program (in Euros)

From: Costs and quality of life for prehabilitation and early rehabilitation after surgery of the lumbar spine

 

Integrated programme

Standard care programme

 

In total

Per patient

In total

Per patient

Preoperative introduction

I) Physiotherapist: 1 h × 28 patients × 27€* = 756€

I) Physician support: 0.16 h × 5 patients × 34€* = 27€

R) Nurse: 0.25 h × 32 patients × 28€* = 224€

783

28

224

8

Training

I) Physiotherapist: 1/2 h × 28 patients × 27€* × 2 times = 27€

756

27

0

0

Smoking intervention

I) Nurse: 2.8 h × 3 smokers × 28€* = 235€

i) Equipments/medication: 65 € × 3 patients = 195€

430

15

0

0

Alcohol intervention

I) Nurse: 2.8 h × 0 smokers × 28€* = 0€

I) Equipments/medication: 27 € × 0 patients = 0€

0

0

0

0

Optimised pain treatment

I) Physician: 0.25h × 28 patients × 34€* = 238€

238

9

0

0

Preoperative costs

 

79

 

8

Postoperative hospital training

I) Physiotherapist: 1 h × 28 patients × 5 times × 27€* = 3,880€

R) Physiotherapist: 1/2 h × 32 patients × 7 times × 27€*= 3,024€

3,880

135

3,024

95

Pain treatment

I) Senior nurse: 0.16 h × 3 times × 28 patients × 30*€ =403€

I) Specialist: 0.16 h × 3 times × 28 patients × 61€* = 820€

R) Senior nurse: 0.16 h × 3 times × 32 patients × 30*€ =460€

R) Specialist: 0.08 h × 3 times × 32 patients × 61€* = 468€

1,223

44

928

29

Hospital stay

I) Bed-price: 164 € per day × 5 days × 28 patients = 22,960€

R) Bed-price: 164 € per day × 7 days × 32 patients = 36,736€

22,960

820

36,736

1,148

Second surgery

R) Stop bleeding: 8,247€

0

0

8,247

258

Postoperative hospital costs per patient

 

999

 

1,530

Postoperative primary care GP

I) Contact: 43 contacts × 14€ per contact = 623€

R) Contact: 61 contacts × 14€ per contact = 854€

623

22

854

27

Emergency contacts

I) Contact: 3 contacts × 24€ per contact = 72€

R) Contact: 10 contacts × 24€ per contact=240€

72

2

240

8

Physiotherapy

I) Private physiotherapist: 20 h × 45€*= 900€

R) Private physiotherapist: 67 h × 45€*= 3,015€

900

32

3,015

94

Medical treatment

I) Medical treatment: 1120€

R) Medical treatment: 32€

1,120

40

32

1

Postoperative primary care costs per patients

 

96

 

130

Balance for direct costs per patient

 

1,174

 

1,668

  1. * Salary per hour