Journal article
Cost-Effectiveness Analysis of Clinically Indicated Versus Routine Replacement of Peripheral Intravenous Catheters
Applied Health Economics and Health Policy, Vol.12(1), pp.51-58
02/2014
PMID: 24408785
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Source: InCites
Abstract
Millions of peripheral intravenous catheters are used worldwide. The current guidelines recommend routine catheter replacement every 72–96 h. This practice requires increasing healthcare resource use. The clinically indicated catheter replacement strategy is proposed as an alternative.To assess the cost effectiveness of clinically indicated versus routine replacement of peripheral intravenous catheters.A cost-effectiveness analysis from the perspective of Queensland Health, Australia, was conducted alongside a randomized controlled trial. Adult patients with an intravenous catheter of expected use for longer than 4 days were randomly assigned to receive either clinically indicated replacement or third-day routine replacement. The primary outcome was phlebitis during catheterization or within 48 h after catheter removal. Resource use data were prospectively collected and valued (2010 prices). The incremental net monetary benefit was calculated with uncertainty characterized using bootstrap simulations. Additionally, value of information (VOI) and value of implementation analyses were performed.The clinically indicated replacement strategy was associated with a cost saving per patient of AU$7.60 (95 % confidence interval [CI] 4.96–10.62) and a non-significant difference in the phlebitis rate of 0.41 % (95 % CI −1.33 to 2.15). The incremental net monetary benefit was AU$7.60 (95 % CI 4.96–10.62). The expected VOI was zero, whereas the expected value of perfect implementation of the clinically indicated replacement strategy was approximately AU$5 million over 5 years.The clinically indicated catheter replacement strategy is cost saving compared with routine replacement. It is recommended that healthcare organizations consider changing to a policy whereby catheters are changed only if clinically indicated.
Details
- Title
- Cost-Effectiveness Analysis of Clinically Indicated Versus Routine Replacement of Peripheral Intravenous Catheters
- Creators
- Haitham Tuffaha - Centre for Applied Health Economics, School of Medicine Griffith University Meadowbrook QLD 4131 AustraliaClaire Rickard - Centre for Clinical Nursing Royal Brisbane and Women’s Hospital Herston QLD 4029 AustraliaJoan Webster - Centre for Clinical Nursing Royal Brisbane and Women’s Hospital Herston QLD 4029 AustraliaNicole Marsh - Centre for Clinical Nursing Royal Brisbane and Women’s Hospital Herston QLD 4029 AustraliaLouisa Gordon - Centre for Applied Health Economics, School of Medicine Griffith University Meadowbrook QLD 4131 AustraliaMarianne Wallis - School of Nursing and Midwifery University of the Sunshine Coast Sippy Downs QLD 4556 AustraliaPaul Scuffham - Centre for Applied Health Economics, School of Medicine Griffith University Meadowbrook QLD 4131 Australia
- Publication Details
- Applied Health Economics and Health Policy, Vol.12(1), pp.51-58
- Publisher
- Springer International Publishing; Cham
- Identifiers
- 991012926994602368
- Academic Unit
- Nursing; Faculty of Health
- Language
- English
- Resource Type
- Journal article