TY  - BOOK
AU  - Simkovich, Suzanne M
TI  - Economic Evaluation of Ultrasound-guided Central Venous Catheter Confirmation vs Chest Radiography in Critically Ill Patients: A Labor Cost Model
SN  - 1936-900X
PY  - 2022///
KW  - *Catheterization, Central Venous
KW  - *Central Venous Catheters
KW  - Catheterization, Central Venous/mt [Methods]
KW  - Cost-Benefit Analysis
KW  - Critical Illness
KW  - Humans
KW  - Prospective Studies
KW  - Radiography
KW  - Radiography, Thoracic
KW  - Ultrasonography, Interventional
KW  - MedStar Health Research Institute
KW  - Journal Article
N2  - CONCLUSION: In this study comparing the labor costs of two approaches for CVC confirmation, the more efficient alternative (POCUS-guided) is not more expensive than traditional CXR. Performing an economic analysis framed in terms of labor costs and work efficiency may influence stakeholders and facilitate earlier adoption of POCUS for CVC confirmation; INTRODUCTION: Despite evidence suggesting that point-of-care ultrasound (POCUS) is faster and non-inferior for confirming position and excluding pneumothorax after central venous catheter (CVC) placement compared to traditional radiography, millions of chest radiographs (CXR) are performed annually for this purpose. Whether the use of POCUS results in cost savings compared to CXR is less clear but could represent a relative advantage in implementation efforts. Our objective in this study was to evaluate the labor cost difference for POCUS-guided vs CXR-guided CVC position confirmation practices; METHODS: We developed a model to evaluate the per patient difference in labor cost between POCUS-guided vs CXR-guided CVC confirmation at our local urban, tertiary academic institution. We used internal cost data from our institution to populate the variables in our model; RESULTS: The estimated labor cost per patient was
UR  - https://dx.doi.org/10.5811/westjem.2022.7.56501
ER  -