内腔心电图与X射线指导用于中央静脉接入装置的尖端位置:成本效益分析
Fulvio Pinelli1, Filippo Firenzuoli2, Stefano Romagnoli1,2
1Department of Anesthesia and Critical Care, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.
The journal of vascular access
|June 2, 2025
概括
内腔内心电图 (IC-ECG) 显著降低了中央静脉接入装置 (CVAD) 放置的成本. 与传统的X射线指导相比,这种方法为港口和PICC提供了相当大的节省.
科学领域:
- 血管接入 血管接入
- 医疗器械安置 医疗器械安置
- 卫生经济学 卫生经济学
背景情况:
- 内腔内心电图 (IC-ECG) 是用于中央静脉接入装置 (CVAD) 尖端定位的最新创新.
- 虽然它对患者结果的好处得到了认可,但关于成本效益的数据仍然有限.
研究的目的:
- 评估IC-ECG与CVAD尖端位置的放射学方法相比的成本效益.
- 评估IC-ECG采用对第三级护理机构年度成本降低的影响.
主要方法:
- 追溯观察性研究,将IC-ECG与光学/CXR用于端口和PICC尖端位置进行比较.
- 分析与设备插入和初级错位相关的成本.
主要成果:
- 与放射学方法相比,IC-ECG每次将端口插入成本降低了569.62欧元,PICC插入成本减少了43.53欧元.
- 通过采用IC-ECG用于CVAD尖端本地化,每年节省了518,198.55欧元.
- 使用IC-ECG.错位成本显著降低.
结论:
- 与X射线指导相比,IC-ECG的使用导致CVAD (PICC和端口) 尖端位置的成本大幅降低.
- 实施IC-ECG是CVAD植入的成本效益高的策略.
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