Ultrasound-guided umbilical venous catheterisation: A cost-effectiveness analysis
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 conv...
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| Format: | Article |
| Language: | English |
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2020
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| Online Access: | http://eprints.uanl.mx/20107/1/1-s2.0-S2341287919302194-main.pdf |
| _version_ | 1824415751415529472 |
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| author | Guzmán de la Garza, Francisco Javier Laredo Flores, Argelia Dardane Cárdenas del Castillo, Bárbara Cordero Franco, Hid Felizardo Salinas Martínez, Ana María Fernández Garza, Nancy Esthela Ochoa Correa, Erika del Carmen |
| author_facet | Guzmán de la Garza, Francisco Javier Laredo Flores, Argelia Dardane Cárdenas del Castillo, Bárbara Cordero Franco, Hid Felizardo Salinas Martínez, Ana María Fernández Garza, Nancy Esthela Ochoa Correa, Erika del Carmen |
| author_sort | Guzmán de la Garza, Francisco Javier |
| collection | Repositorio Institucional |
| description | 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 |
| format | Article |
| id | eprints-20107 |
| institution | UANL |
| language | English |
| publishDate | 2020 |
| record_format | eprints |
| spelling | eprints-201072022-03-05T16:07:32Z http://eprints.uanl.mx/20107/ Ultrasound-guided umbilical venous catheterisation: A cost-effectiveness analysis Guzmán de la Garza, Francisco Javier Laredo Flores, Argelia Dardane Cárdenas del Castillo, Bárbara Cordero Franco, Hid Felizardo Salinas Martínez, Ana María Fernández Garza, Nancy Esthela Ochoa Correa, Erika del Carmen RC Medicina Interna, Psiquiatría, Neurología 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 2020 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/20107/1/1-s2.0-S2341287919302194-main.pdf http://eprints.uanl.mx/20107/1.haspreviewThumbnailVersion/1-s2.0-S2341287919302194-main.pdf 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 http://doi.org/10.1016/J.ANPEDE.2019.04.013 doi:10.1016/J.ANPEDE.2019.04.013 |
| spellingShingle | RC Medicina Interna, Psiquiatría, Neurología Guzmán de la Garza, Francisco Javier Laredo Flores, Argelia Dardane Cárdenas del Castillo, Bárbara Cordero Franco, Hid Felizardo Salinas Martínez, Ana María Fernández Garza, Nancy Esthela Ochoa Correa, Erika del Carmen Ultrasound-guided umbilical venous catheterisation: A cost-effectiveness analysis |
| thumbnail | https://rediab.uanl.mx/themes/sandal5/images/online.png |
| title | Ultrasound-guided umbilical venous catheterisation: A cost-effectiveness analysis |
| title_full | Ultrasound-guided umbilical venous catheterisation: A cost-effectiveness analysis |
| title_fullStr | Ultrasound-guided umbilical venous catheterisation: A cost-effectiveness analysis |
| title_full_unstemmed | Ultrasound-guided umbilical venous catheterisation: A cost-effectiveness analysis |
| title_short | Ultrasound-guided umbilical venous catheterisation: A cost-effectiveness analysis |
| title_sort | ultrasound guided umbilical venous catheterisation a cost effectiveness analysis |
| topic | RC Medicina Interna, Psiquiatría, Neurología |
| url | http://eprints.uanl.mx/20107/1/1-s2.0-S2341287919302194-main.pdf |
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