DVT Surveillance Program in the ICU: Analysis of Cost-Effectiveness

Ajai K Malhotra, Stephanie R Goldberg, Laura McLay, Nancy R Martin, Luke G Wolfe, Mark M Levy, Vishal Khiatani, Todd C Borchers, Therese M Duane, Michel B Aboutanos and Rao R Ivatury

PLOS ONE, 2014, vol. 9, issue 9, 1-7

Abstract: Background: Venous Thrombo-embolism (VTE – Deep venous thrombosis (DVT) and/or pulmonary embolism (PE) – in traumatized patients causes significant morbidity and mortality. The current study evaluates the effectiveness of DVT surveillance in reducing PE, and performs a cost-effectiveness analysis. Methods: All traumatized patients admitted to the adult ICU underwent twice weekly DVT surveillance by bilateral lower extremity venous Duplex examination (48-month surveillance period – SP). The rates of DVT and PE were recorded and compared to the rates observed in the 36-month pre-surveillance period (PSP). All patients in both periods received mechanical and pharmacologic prophylaxis unless contraindicated. Total costs – diagnostic, therapeutic and surveillance – for both periods were recorded and the incremental cost for each Quality Adjusted Life Year (QALY) gained was calculated. Results: 4234 patients were eligible (PSP – 1422 and SP – 2812). Rate of DVT in SP (2.8%) was significantly higher than in PSP (1.3%) – p

Date: 2014
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0106793

DOI: 10.1371/journal.pone.0106793

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