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

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