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Cost analysis of Hickman catheter insertion at bedside in gynecologic oncology patients
R S Mannel1, A Manetta, R L Hickman
1Department of Obstetrics and Gynecology, University of Oklahoma Health Sciences Center, Oklahoma City.
Insights
Bedside insertion of Hickman catheters is a safe and cost-effective alternative to operating room placement, saving approximately $1,545 per patient. This method offers comparable complication rates for Hickman catheter procedures.
Area of Science:
- Medical Procedures
- Healthcare Economics
- Patient Safety
Background:
- Rising healthcare costs necessitate cost-containment strategies in medical practice.
- Hickman catheter insertion is a common procedure with varying placement methods.
- Evaluating cost and safety of different insertion locations is crucial.
Purpose of the Study:
- To compare the cost-effectiveness and safety of bedside versus operating room insertion of Hickman catheters.
- To analyze complication rates associated with each insertion location.
- To identify potential cost savings through procedural adjustments.
Main Methods:
- Prospective chart review of patients undergoing Hickman catheter insertion.
- Data collection on procedure location, success rates, complications, and associated costs.
- Comparative analysis of bedside and operating room placement outcomes.
Main Results:
- A total of 108 Hickman catheters were placed in 96 patients over seven years.
- 53 catheters were inserted at bedside and 55 in the operating room.
- Complication rates were similar: 8% for bedside and 9% for operating room.
- Bedside insertion resulted in significant cost savings of $1,545 per patient.
Conclusions:
- Percutaneous bedside insertion of Hickman catheters is a safe and cost-effective option for select patients.
- Utilizing bedside placement can lead to substantial financial savings in healthcare.
- This approach maintains acceptable safety profiles compared to operating room procedures.
Background:
Cost-containment issues are becoming increasingly important in medicine. The current study compares bedside versus operating room insertion of Hickman catheters from a cost and safety standpoint.
Study Design:
A prospective chart review of all patients undergoing Hickman catheter insertion during the study period was performed to determine location of the procedure, rate of successful catheter placement, complications, and cost.
Results:
Ninety-six patients underwent placement of 108 Hickman catheters during a seven year period. Fifty-three catheters were inserted at bedside while 55 catheters were placed in the operating room. The complication rate was 8 percent for the bedside and 9 percent for the operating room group. Due to anesthesia standby, operating room time, and fluoroscopy, cost analysis revealed a substantial savings of $1,545 per patient if bedside insertion was utilized.
Conclusions:
The data indicate that, in select patients, percutaneous insertion of Hickman catheters at bedside is a safe, cost-effective procedure.