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Healthcare-related carbon footprinting-lower impact of a coronary stenting compared to a coronary surgery pathway.
Sack, Fabian; Irwin, Amanda; van der Zalm, Raymond; Ho, Loraine; Celermajer, Danielle J; Celermajer, David S.
Afiliación
  • Sack F; Integrated Sustainability Analysis, School of Physics, The University of Sydney, Camperdown, NSW, Australia.
  • Irwin A; Integrated Sustainability Analysis, School of Physics, The University of Sydney, Camperdown, NSW, Australia.
  • van der Zalm R; Sydney Environment Institute, The University of Sydney Quadrangle, Camperdown, NSW, Australia.
  • Ho L; Performance Monitoring, Systems Improvement and Innovation Unit, Sydney Local Health District, Royal Prince Alfred Hospital, Stanmore, NSW, Australia.
  • Celermajer DJ; Sydney Environment Institute, The University of Sydney Quadrangle, Camperdown, NSW, Australia.
  • Celermajer DS; Faculty of Medicine and Health, Central Clinical School, Heart Research Institute, The University of Sydney, Newtown, NSW, Australia.
Front Public Health ; 12: 1386826, 2024.
Article en En | MEDLINE | ID: mdl-39234076
ABSTRACT
Healthcare is a major generator of greenhouse gases, so consideration of this contribution to climate change needs to be quantified in ways that can inform models of care. Given the availability of activity-based financial data, environmentally-extended input-output (EEIO) analysis can be employed to calculate systemic carbon footprints for healthcare activities, allowing comparison of different patient care pathways. We thus quantified and compared the carbon footprint of two common care pathways for patients with stable coronary artery disease, with similar clinical

outcomes:

coronary stenting and coronary artery bypass surgery (CABG). Healthcare cost data for these two pathways were disaggregated and the carbon footprint associated with this expenditure was calculated by connecting the flow of money within the economy to the greenhouse gases emitted to support the full range of associated activities. The systemic carbon footprint associated with an average stable patient CABG pathway, at a large tertiary referral hospital in Sydney, Australia in 2021-22, was 11.5 tonnes CO2-e, 4.9 times greater than the 2.4 tonnes CO2-e footprint of an average comparable stenting pathway. These data suggest that a stenting pathway for stable coronary disease should be preferred on environmental grounds and introduces EEIO analysis as a practical tool to assist in health-care related carbon footprinting.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedad de la Arteria Coronaria / Stents / Puente de Arteria Coronaria / Huella de Carbono Límite: Humans País/Región como asunto: Oceania Idioma: En Revista: Front Public Health Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedad de la Arteria Coronaria / Stents / Puente de Arteria Coronaria / Huella de Carbono Límite: Humans País/Región como asunto: Oceania Idioma: En Revista: Front Public Health Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Suiza