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周边插入的中央导管与中心插入的中心导管用于医院内输液治疗:成本效益分析

Simone de Souza Fantin¹, Marina Scherer Dos Santos², Eduarda Bordini Ferro²

¹Cardiology and Cardiovascular Sciences Program, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil; Vascular Access Program, Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.

Value in health regional issues

|February 24, 2024

概括

外围插入的中央导管 (PICCs) 比中央插入的中央导管 (CICCs) 出现的并发症少. 尽管初始成本较高,PICCs减少了对导管更换的需求,整体证明更有效.

科学领域:

医疗器械医疗器械
卫生经济学卫生经济学
临床有效性临床有效性

背景情况:

中心静脉导管对于各种医疗治疗至关重要.
外围插入的中央导管 (PICC) 和中央插入的中央导管 (CICC) 都被广泛使用.
与中央静脉导管相关的并发症需要仔细评估不同类型.

研究的目的:

在住院成年人中比较PICC与CICC的有效性.
评估PICC与CICC之间的成本效益.
确定避免导管并发症和更换的经济影响.

主要方法:

一项前性队列研究,比较PICC和CICC.
倾向性得分匹配,以确保可比的患者组.
使用决策树模型和计算增量成本效益比率 (ICER) 的经济分析.

主要成果:

在PICC组 (79.3%) 与CICC组 (62.2%) 相比,观察到与设备相关的并发症较少.
由于并发症而导致设备移除或更换的风险与PICC显著降低 (HR 0.20).
对于PICC安置的ICER是BRL 3349.91每次避免了导管去除/更换,具有强大的灵敏度分析.

结论:

与CICC安置相比,PICC安置与并发症的风险明显降低.
虽然PICC的前期成本较高,但它们减少了对导管更换的需求.
在考虑避免并发症时,PICC代表了一个更有效和潜在的成本效益较高的选择.

关键词:

与导管相关的血液感染.通过中央静脉导管导管.经过成本分析,分析成本.控制成本,控制成本.分析成本效益分析.经济评估经济评价患者安全患者安全血管接入装置是一种血管接入装置.

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