Ultrasound-guided umbilical venous catheterisation: A cost-effectiveness analysis

Guzmán de la Garza, Francisco Javier y Laredo Flores, Argelia Dardane y Cárdenas del Castillo, Bárbara y Cordero Franco, Hid Felizardo y Salinas Martínez, Ana María y Fernández Garza, Nancy Esthela y Ochoa Correa, Erika del Carmen (2020) Ultrasound-guided umbilical venous catheterisation: A cost-effectiveness analysis. Anales de Pediatría (English Edition), 92 (4). pp. 215-221. ISSN 23412879

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Resumen

Introduction: Although the use of ultrasound for the insertion of central catheters has proven to be cost-effective in adults, it is not known if this is the case in the neonatal population. This study compared the cost-effectiveness of ultrasound-guided umbilical venous catheterisation with conventional catheterisation in a neonatal intensive care unit of a Public University Hospital. Patients and methods: A retrospective observational study was conducted on newborns that required an umbilical venous catheter before completing their first 24 h of extra-uterine life. Two retrospective cohorts were formed, including one with ultrasound-guided catheterisation and the other with conventional catheterisation. The effectiveness was measured using 2 variables: placement of ideal position and insertion without complications. The cost of human and material resources (consumable and non-consumable), the cost-effectiveness ratio, and the incremental cost-effectiveness ratio were estimated, as well as carrying out a sensitivity analysis. Results: Catheter obstruction was more frequent in guided catheterisation than in conventional catheterisation (7.7% vs. 0%, P = .04) and catheter dysfunction was higher in the latter (79% vs. 3.8%, P < .0001). The cost-effectiveness ratio of the guided catheterisation was

Tipo de elemento: Article
Palabras claves no controlados: Cost-effectiveness evaluation, Catheterisation, Umbilical veins, Ultrasound
Materias: R Medicina > RC Medicina Interna, Psiquiatría, Neurología
Divisiones: Medicina
Usuario depositante: Editor Repositorio
Creadores:
CreadorEmailORCID
Guzmán de la Garza, Francisco JavierNO ESPECIFICADONO ESPECIFICADO
Laredo Flores, Argelia DardaneNO ESPECIFICADONO ESPECIFICADO
Cárdenas del Castillo, BárbaraNO ESPECIFICADONO ESPECIFICADO
Cordero Franco, Hid FelizardoNO ESPECIFICADONO ESPECIFICADO
Salinas Martínez, Ana MaríaNO ESPECIFICADONO ESPECIFICADO
Fernández Garza, Nancy EsthelaNO ESPECIFICADONO ESPECIFICADO
Ochoa Correa, Erika del CarmenNO ESPECIFICADONO ESPECIFICADO
Fecha del depósito: 16 Oct 2020 12:13
Última modificación: 16 Oct 2020 12:13
URI: http://eprints.uanl.mx/id/eprint/20107

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