| Autor: |
Francisco Javier Guzmán-de la Garza, Argelia Dardane Laredo-Flores, Bárbara Cárdenas-del Castillo, Hid Felizardo Cordero-Franco, Ana María Salinas-Martínez, Nancy Esthela Fernández-Garza, Erika Ochoa-Correa |
| Jazyk: |
Spanish; Castilian |
| Rok vydání: |
2020 |
| Předmět: |
|
| Zdroj: |
Anales de Pediatría (English Edition), Vol 92, Iss 4, Pp 215-221 (2020) |
| Druh dokumentu: |
article |
| ISSN: |
2341-2879 |
| DOI: |
10.1016/j.anpede.2019.04.013 |
| Popis: |
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 |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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