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
2014
Abstract
Background: 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. Objectives To assess the cost effectiveness of clinically indicated versus routine replacement of peripheral intravenous catheters. Methods 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. Results The clinically indicated replacement strategy was associated with a cost saving per patient of AU7.60(95 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. Conclusion 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
- Authors
- Haitham W Tuffaha (Author) - Griffith UniversityClaire M Rickard (Author) - Griffith UniversityJoan Webster (Author) - Griffith UniversityNicole Marsh (Author) - Griffith UniversityLouisa G Gordon (Author) - Griffith UniversityMarianne Wallis (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and EngineeringPaul A Schuffham (Author) - Griffith University
- Publication details
- Applied Health Economics and Health Policy, Vol.12(1), pp.51-58
- Publisher
- Adis International Ltd.
- Date published
- 2014
- DOI
- 10.1007/s40258-013-0077-2
- ISSN
- 1175-5652
- Copyright note
- Copyright © 2014 Springer. Reproduced with permission. The final publication is available at Springer via http://dx.doi.org/10.1007/s40258-013-0077-2
- Organisation Unit
- University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
- Language
- English
- Record Identifier
- 99448782702621
- Output Type
- Journal article
Metrics
769 File views/ downloads
1585 Record Views
InCites Highlights
These are selected metrics from InCites Benchmarking & Analytics tool, related to this output
- Collaboration types
- Domestic collaboration
- Web Of Science research areas
- Economics
- Health Care Sciences & Services
- Health Policy & Services
UN Sustainable Development Goals (SDGs)
This output has contributed to the advancement of the following goals:
Source: InCites