四个静脉导管的成本比较:短外围导管,长外围线,中线和PICC用于外围输液
Elise Meto1, Elise Cabout1, Hervé Rosay2
1Réseau d'Evaluation en Economie de la Santé (REES France), Paris, France.
The journal of vascular access
|June 10, 2024
概括
中线导管的成本效益高于短外围管和PICC线路,可输注长达21天. 尽管初始成本较高,但这种经济优势支持它们在医疗机构的使用.
科学领域:
- 医疗器械 医疗器械
- 卫生经济学 卫生经济学
- 血管接入 血管接入
背景情况:
- 中线导管是外围静脉输注的替代品,但其成本效益尚未得到充分证实.
- 现有的决策树可以比较短外围导管 (SPC),中线和外围插入的中央导管 (PICC),但缺乏经济评估.
- 本研究涉及使用这些导管类型在不同时间段的经济影响.
研究的目的:
- 估计和比较使用中线导管与SPC和PICC的实际成本.
- 评估这些设备对7天,14天和21天的经济影响.
- 提供有关血管接入装置的临床和经济决策的信息.
主要方法:
- 进行了预算影响分析,将中线/长线外围卡努拉 (LPC) 与SPC和PICC进行了比较.
- 微成本确定了导管护理的资源,包括耗材,医疗/护理和并发症.
- 系统性并发症的成本是根据法国国家数据估计的,并发症频率是从文献中审查的.
主要成果:
- 与SPC相比,中线导管节省了成本 (39€超过7天,174€超过14天).
- 中线也比PICC更经济 (超过14天的102欧元,超过21天的95欧元).
- 尽管收购成本较高,但Midline的整体利用证明更具成本效益.
结论:
- 与SPC和PICC相比,中线导管的整体使用成本较低,尽管最初的购买价格更高.
- 经济考虑因素会影响医疗器械的选择,尤其是在资源有限的环境中.
- 虽然研究中的光学引导PICC放置影响成本比较,但即使考虑ECG引导PICC放置,Midlines仍然在经济上有利.
更多相关视频
09:38Femoral Arterial and Venous Catheterization for Blood Sampling, Drug Administration and Conscious Blood Pressure and Heart Rate Measurements
Published on: January 24, 2012
124.8K
06:59A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
30.5K
相关概念视频
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
131
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
131
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
392
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
392
