Ultrasound for central venous cannulation: economic evaluation of cost-effectiveness

被引:113
作者
Calvert, N
Hind, D
McWilliams, R
Davidson, A
Beverley, CA
Thomas, SM
机构
[1] ScHARR, Sheffield S1 4DA, S Yorkshire, England
[2] Royal Liverpool Univ Hosp, Liverpool L7 8XP, Merseyside, England
[3] Univ Sheffield, Royal Hallamshire Hosp, Sheffield Teaching Hosp, NHS Trust, Sheffield S10 2JF, S Yorkshire, England
[4] Univ Sheffield, No Gen Hosp, Dept Acad Radiol, Sheffield S5 7AU, S Yorkshire, England
关键词
central venous catheterisation; ultrasound-guided; cost analysis;
D O I
10.1111/j.1365-2044.2004.03906.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We compared the economics of using two-dimensional ultrasound locating devices and more traditional landmark methods for central venous cannulation in the National Health Service (NHS). The evaluation consisted of a systematic review of randomised controlled trials and an economic evaluation using decision analytic cost-effectiveness modelling. Incremental costs per complication avoided associated with landmark and ultrasound central venous cannulation were modelled for patients scheduled for central venous cannulation. The marginal economic cost of using ultrasound for central venous cannulation was less than pound10 per procedure, assuming that a machine is used for 15 procedures each week. The base case scenario implied that pound2000 worth of resource savings result for every 1000 procedures undertaken and 90 avoided complications. Sensitivity analysis indicated that the results of modelling appear robust to the central assumptions used. Ultrasound guidance used in central venous cannulation procedures saves NHS resources even with conservative modelling assumptions.
引用
收藏
页码:1116 / 1120
页数:5
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