scholarly journals Direct cost of maintenance of totally implanted central venous catheter patency

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Rafael Fernandes Bel Homo ◽  
Antônio Fernandes Costa Lima
Keyword(s):  
Sodium Chloride ◽  
Central Venous Catheter ◽  
Direct Cost ◽  
Unit Cost ◽  
Venous Catheter ◽  
Total Direct Cost ◽  
Central Venous ◽  
Cost Of Materials ◽  
The Cost ◽  
Total Average

ABSTRACT Objective: to identify the average direct cost of maintaining the patency of totally implanted central venous catheter with heparin at a Day Hospital of a public hospital of high complexity specialized in the treatment of cancer patients, and estimate the average direct cost of replacing heparin with sodium chloride 0.9%. Method: quantitative, exploratory-descriptive study, with a sample of 200 non-participant observations of the maintenance of totally implanted central venous catheters with heparin. The average direct cost was calculated by multiplying the (clocked) time spent by professionals to complete the procedure by the direct unit cost of workforce, added to the cost of materials and solutions. Results: the estimated total direct cost of catheter maintenance with heparin was US$ 9.71 (SD=1.35) on average, ranging from US$ 7.98 to US$ 23.28. The estimated total direct cost of maintenance with 0.9% sodium chloride in the place of heparin was US$ 8.81 (SD=1.29) on average, resulting in a reduction of US$ 0.90 per procedure. Conclusion: the results contributed to propose strategies to assist in cost containment/minimization in this procedure. The replacement of heparin by 0.9% sodium chloride proved to be an option to reduce the total average direct cost.

scholarly journals Direct costs of rescue procedures to manage vascular access complications in conventional hemodialysis

2021 ◽  
Vol 55 ◽  
Author(s):  
Ana Cláudia Tavares de Melo ◽  
Antônio Fernandes Costa Lima
Keyword(s):  
Central Venous Catheter ◽  
Direct Cost ◽  
Vascular Access ◽  
Health Professionals ◽  
Unit Cost ◽  
Venous Catheter ◽  
Direct Costs ◽  
Total Direct Cost ◽  
Central Venous ◽  
Management Of Complications

ABSTRACT Objective: To measure the average direct cost of procedures performed by health professionals, in a Dialysis Center, for the management of complications of vascular access for hemodialysis. Method: Quantitative, exploratory-descriptive case study type research. The average direct cost was calculated by multiplying the time spent by health professionals by the unit cost of direct labor, adding this to the input costs (materials/ medicines/solutions). Results: The following average direct costs were obtained: US$0.72, US$2.00 and US$1.41 for “administration of easy-to-dilute, difficult-to-dilute, and undiluted antibiotics”, respectively; $2.61 for “central venous catheter dressing with topical antibiotic”; $48.05 for “alteplase infusion”; US$183.68 for “insertion of central venous catheter for hemodialysis”; and $1.31 for “arteriovenous fistula puncture”. Conclusion: Material and drug costs significantly contributed to the composition of the average total direct cost of most procedures.

scholarly journals Direct cost of peripheral catheterization by nurses

2019 ◽  
Vol 72 (1) ◽  
pp. 88-94
Author(s):  
Ana Beatriz Mateus Pires ◽  
Antônio Fernandes Costa Lima
Keyword(s):  
Direct Cost ◽  
Neonatal Intensive Care ◽  
Participant Observation ◽  
Single Case ◽  
Unit Cost ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Cost Of Materials ◽  
The Cost ◽  
Nursing Professionals

ABSTRACT Objective: To measure the average direct cost of peripherally inserted central catheterization performed by nurses in a pediatric and neonatal intensive care unit. Method: A quantitative, exploratory-descriptive, single-case study, whose sample consisted of the non-participant observation of 101 peripherally inserted central catheter procedures. The cost was calculated by multiplying the execution time (timed using a chronometer) spent by nursing professionals, participants in the procedure, by the unit cost of direct labor, added to the cost of materials, drugs, and solutions. Results: The average direct cost of the procedure was US$ 326.95 (standard deviation = US$ 84.47), ranging from US$ 99.03 to US$ 530.71, with a median of US$ 326.17. It was impacted by material costs and the direct labor of the nurses. Conclusion: The measurement of the average direct cost of the peripherally inserted central catheter procedure shed light on the financials of consumed resources, indicating possibilities of intervention aiming to increase efficiency in allocating these resources.

Counting the cost: hospital versus home central venous catheter survival

1997 ◽  
Vol 35 (3) ◽  
pp. 197-205 ◽  
Author(s):  
C.A.S. Melville ◽  
W.M. Bisset ◽  
S. Long ◽  
P.J. Milla
Keyword(s):  
Central Venous Catheter ◽  
Venous Catheter ◽  
Central Venous ◽  
Catheter Survival ◽  
The Cost

Heparin or 0.9% sodium chloride to maintain central venous catheter patency

2012 ◽  
Vol 40 (6) ◽  
pp. 1820-1826 ◽  
Author(s):  
Marilyn E. Schallom ◽  
Donna Prentice ◽  
Carrie Sona ◽  
Scott T. Micek ◽  
Lee P. Skrupky
Keyword(s):  
Sodium Chloride ◽  
Central Venous Catheter ◽  
Venous Catheter ◽  
Central Venous ◽  
Catheter Patency

scholarly journals Peripheral venous access using devices over needles with and without extension: costs and outcomes

2020 ◽  
Vol 73 (5) ◽  
Author(s):  
Antônio Fernandes Costa Lima ◽  
Amanda Saba ◽  
Abílio Gonçalves das Neves Filho ◽  
Karen Aparecida Couto ◽  
Luciana Oliveira e Silva
Keyword(s):  
Direct Cost ◽  
Unit Cost ◽  
Venous Access ◽  
Descriptive Research ◽  
Peripheral Venous Access ◽  
The Mean ◽  
Cost Of Materials ◽  
The Cost ◽  
Nursing Professionals

ABSTRACT Objectives: to analyze the mean direct cost and peripheral venous access length outcomes using devices over needle with and without extension. Methods: quantitative, exploratory-descriptive research. Venous punctures and length of the devices were followed. The mean direct cost was calculated by multiplying the time (timed) spent by nursing professionals by the unit cost of labor, adding to the cost of materials. Results: the total mean direct cost of using devices “with extension” (US$ 9.37) was 2.9 times the cost of using devices “without extension” (US$ 4.50), US$ 7.71 and US$ 2.66, respectively. Totaling 96 hours of stay, the “device over needle with extension” showed a lower occurrence of accidental loss. Conclusions: the use of the “device over needle with extension”, despite its higher mean direct cost, was more effective in favoring adequate length of peripheral venous access.

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