Objectives: To analyze the resource utilization of performing drug-induced sleep endoscopy (DISE) procedures in an endoscopy suite (ES) setting as compared with the operating room (OR).
Study Design: A retrospective review of DISE procedures performed by a single attending surgeon from 2016 to 2018.
Setting: Tertiary hospital.
Subjects And Methods: All patients undergoing sleep endoscopy without concurrent surgical procedures were included. No exclusion criteria were incorporated. Analysis assessed for differences in procedure-related expenditures, patient characteristics, anesthesia and surgeon time, and access to care.
Results: A total of 87 sleep endoscopies were included: 65 (74.7%) performed in the ES and 22 (25.3%) in the OR. Patient groups were similar in age and apnea-hypopnea index severity ( > .05). Patient body mass index was significantly higher for the ES group ( = .03). Total facility time, postoperative recovery time, anesthesia care time, and time in the surgical room were significantly decreased in the ES setting ( < .01). Surgical time was similar between the groups ( > .05). For ES procedures, total cost was reduced by 74% ( < .01). DISE in the ES resulted in a mean $5080 less in health system charges versus the OR group ( < .01). There were no treatment-related complications in either setting.
Conclusion: The resource utilization profile of performing DISE can be significantly improved by transferring these procedures from the OR to the ES setting.
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