复杂和常规的下静脉卡瓦过器检索中的供应成本:来自单一中心的10年数据
Gyan C Moorthy1, Jason L Craig2, Edward Ferrara3
1Division of Interventional Radiology, Department of Radiology, University of Pennsylvania Medical Center, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania. Electronic address: https://twitter.com/HistoryonRecord.
Journal of vascular and interventional radiology : JVIR
|December 31, 2023
概括
胸内支架 (EF) 是复杂的下静脉膜过器检索 (IVCFR) 的一个具有成本效益的工具. 在常规IVCFR程序中扩大它们的使用可以显著降低医疗供应成本.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 医学经济学 医学经济学
背景情况:
- 下腔静脉过器 (IVCF) 用于预防肺栓塞.
- 检索IVCF可能具有挑战性,需要各种工具和技术.
- 不同的检索策略的成本效益是一个重要的考虑因素.
研究的目的:
- 为了比较下静脉膜过器检索 (IVCFR) 的医疗供应成本,使用内支气管子 (EF),陷或恢复 (RC).
- 评估IVCFR的不同检索工具的成本效益.
主要方法:
- 对2012年至2022年期间执行的594项IVCFR程序进行了回顾性分析.
- 程序根据预期的检索策略进行分类:EFs (n=312),snare (n=255),或RC (n=27).
- 医疗用品的成本是使用目录价格来确定的;统计模型经过日期和其他因素的调整.
主要成果:
- 脑内膜支架 (EFs) 检索的平均成本 (564.70美元) 与陷 (811.29美元) 和RC (1.465.48美元) 检索相比显著较低 (P < .0001).
- 在所有方法中,检索成功率都很高 (594个成功中的591个成功).
- 如果EFs用于所有检索,可能可以节省87,201.51美元.
结论:
- 胸内支架 (EF) 是复杂IVCFR的经济实惠和有效的选择.
- 将EFs的使用扩展到常规的IVCFR程序可以节省大量成本.
- 本研究强调了优化IVCFR工具选择的经济效益.
相关概念视频
01:26Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy
Continuous Renal Replacement Therapy (CRRT) is an essential intervention for patients experiencing severe kidney dysfunction. This therapy offers a continuous mechanism for removing fluids and toxins from the bloodstream, leveraging the patient’s blood pressure to facilitate filtration through a specialized filter. This method contrasts with intermittent dialysis, providing a gentler and more consistent removal of waste products and excess fluid, which is particularly beneficial in critically...
01:29Venous Thrombosis III: Interprofessional Care
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
01:30Continuous Renal Replacement Therapy
Continuous Renal Replacement Therapy, also known as CRRT, is a procedural treatment for acute kidney injury (AKI) that gradually removes uremic toxins and fluids while maintaining acid-base balance and stabilizing electrolytes. It is particularly useful for hemodynamically unstable patients. Unlike intermittent hemodialysis, which is faster, CRRT provides a gentler approach over 24 hours, closely mimicking the function of natural kidneys. However, CRRT is not ideal for patients with...
01:25Hemodialysis I: Introduction
Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
01:24Hemodialysis II: Procedure and Complications
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...