Implementation of a vascular access specialist team in a tertiary hospital: a cost-benefit analysis

Cost Effectiveness and Resource Allocation

Research

Candela Esposito Catal๠ Cristina Adroher Mas¹  Oriol Estrada Cuxart²  Arnau Pons Calsapeu³  Laura Ricou Ríos⁴  Francesc López Seguí⁴  Jordi Ara del Rey⁵  Isabel Andrés Martínez⁶  Isaac Nuño Ruiz⁶  Mònica Castellà Creus⁷  Maria José García Quesada⁸  Laia Castellà Fàbregas⁸ 

[1] CRES - Centre de Recerca en Economia de la Salut, Universitat Pompeu Fabra, Barcelona, Spain;Direcció d’Estratègia Assistencial, Gerència Territorial Metropolitana Nord, Institut Català de la Salut, Barcelona, Spain;Direcció d’Estratègia Assistencial, Gerència Territorial Metropolitana Nord, Institut Català de la Salut, Barcelona, Spain;CRES - Centre de Recerca en Economia de la Salut, Universitat Pompeu Fabra, Barcelona, Spain;Direcció d’Estratègia Assistencial, Gerència Territorial Metropolitana Nord, Institut Català de la Salut, Barcelona, Spain;CRES - Centre de Recerca en Economia de la Salut, Universitat Pompeu Fabra, Barcelona, Spain;Research Group on Innovation, Health Economics and Digital Transformation, Institut Germans Trias i Pujol, Barcelona, Spain;Gerència Territorial Metropolitana Nord, Institut Català de la Salut, Barcelona, Spain;Hospital Universitari Germans Trias i Pujol, Institut Català de la Salut, Barcelona, Spain;Hospital Universitari Germans Trias i Pujol, Institut Català de la Salut, Barcelona, Spain;Direcció Infermera. Àrea de Qualitat. Gerència Metropolitana Nord, Hospital Germans Trias i Pujol, Institut Català de la Salut, Barcelona, Spain;NURECARE-IGTP Nursing Research Group, Germans Trias i Pujol Research Institute, Badalona, Spain;Hospital Universitari Germans Trias i Pujol, Institut Català de la Salut, Barcelona, Spain;NURECARE-IGTP Nursing Research Group, Germans Trias i Pujol Research Institute, Badalona, Spain;

关键词: Catheters;    Cost benefit analysis;    Economic evaluation;    Healthcare-associated infections;    Nursing care;    Peripherally inserted Central Catheter;    Peripheral venous catheters;    Ultrasound;   

DOI  :  10.1186/s12962-023-00464-6

 received in 2023-05-30, accepted in 2023-08-01,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThe use of peripherally inserted central catheters and midline catheters is growing due to their potential benefits. These devices can increase patient safety and satisfaction while reducing the use of resources. As a result, many hospitals are establishing vascular access specialist teams staffed by nurses who are trained in the insertion and maintenance of these catheters. The objective of the study is to evaluate previously to the implementation whether the benefits of introducing ultrasound-guided peripheral venous catheters, midline catheters and peripherally inserted central catheters compared to current practice by a vascular access specialist team outweigh their costs.MethodsCost-benefit analysis from the perspective of the healthcare provider based on administrative data. The study estimates the reduction in resources used when changing the current practice for the use of ultrasound-guided midline and PICC catheters, as well as the additional resources required for their use.ResultsThe use of an ultrasound-guided device on peripherally inserted central carheter, results in a measurable resource reduction of approximately €31. When 3 peripheral venous catheters are replaced by an ultrasound-guided peripherally inserted central catheter, the saving is €63. Similarly, the use of an ultrasound-guided device on a midline catheter, results in a reduction of €16, while each ultrasound-guided midline catheter replacing 3 peripheral venous catheters results in a reduction of €96.ConclusionThe benefits of using ultrasound-guided midline and PICC catheters compared to current practice by introducing a vascular access specialist team trained in the implantation of ultrasound-guided catheters, outweigh its cost mainly because of the decrease in hospital stay due to the lowered risk of phebitis. These results motivate the implementation of the service, adding to previous experience suggesting that it is also preferable from the point of view of patient safety and satisfaction.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

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