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A cost-effective peripheral venous port system placed at the bedside
R Finney1, M H Albrink, M B Hart
1Department of Surgery, University of South Florida, Tampa 33606.
The Journal of Surgical Research
|July 1, 1992
Summary
Peripheral port systems offer a safe, cost-effective alternative to traditional vascular access. Bedside insertion of these ports reduces operating room use and hospital charges, making them ideal for long-term therapies.
Area of Science:
- Vascular Surgery
- Medical Devices
- Health Economics
Background:
- High costs and limited operating room availability necessitate alternatives to traditional operatively placed vascular access systems.
- Peripheral port systems present a potential solution for long-term vascular access needs.
Purpose of the Study:
- To report the initial findings on the safety and efficacy of bedside placement of a peripheral port system (P.A.S. PORT System).
- To evaluate the cost-effectiveness and infection rates associated with this novel vascular access method.
Main Methods:
- A prospective study involving 79 patients (ages 3-92) who underwent bedside implantation of the P.A.S. PORT System by surgical residents under supervision.
- Data collection included patient demographics, reasons for port placement (long-term antibiotics, TPN, blood products, chemotherapy, narcotics), and complication rates.
Main Results:
- The P.A.S. PORT System was successfully implanted in 79 patients, with the majority (86%) for long-term therapies.
- Superficial phlebitis occurred in 10% of patients, resolving without port removal; 9% of ports were removed due to infection.
- Average hospital charge for P.A.S. PORT placement ($1488) was significantly lower than tunneled chest catheters ($2811) or chest ports ($3729).
Conclusions:
- Bedside insertion of peripheral port systems is a safe and effective method for vascular access.
- This approach offers substantial cost savings and improves operating room efficiency.
- Peripheral port systems are a viable alternative for patients requiring long-term infusions, including those with specific medical conditions.