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Avaliação de custo-efetividade do cateterismo em veia jugular interna guiado por ultrassom no Sistema Único de Saúde brasileiro
| Content Provider | Semantic Scholar |
|---|---|
| Author | Boller, Carlos Eduardo Pessanha Senna, Katia Marie Simões E. Teixeira, Roberta Da Silva Goulart, M. C. Tura, Bernardo Rangel Santos, Manuel Filipe Dos |
| Copyright Year | 2019 |
| Abstract | Objective: To determine the economic feasibility of the central catheterization technique in the internal jugular vein guided by the ultrasound compared to the standard technique, under the perspective of the Brazilian Unified Health System. Methods: Cost-effectiveness analysis using decision tree model under a population of adult patients in a tertiary unit scenario. The direct costs of the materials and procedures were estimated using banks of national procurement records. The outcomes were the occurrence or not of severe accidental arterial puncture (the main complication associated with the puncture site). Analyzes of deterministic and probabilistic sensitivity were also conducted, as well as acceptability curve. Results: The intervention cost the model in R$ 53.81. The calculated incremental cost-effectiveness ratio was R$ 17,936.66 due to a serious complication avoided and the acceptability curve showed that the technique is cost-effective under an intention to pay R$ 18,125.00. In the probabilistic sensitivity analysis, 63.6% of the simulations were cost-effective. Conclusion: The intervention is cost-effective, contributing to the reduction of severe complications and the result can provide security for decision making regarding the standardization of the use of ultrasonography as a guideline of the procedure. Recebido em: 11/06/2019. Aprovado para publicação em: 28/07/2019. 1. Fundação Oswaldo Cruz/Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Rio de Janeiro, RJ, Brasil. 2. Instituto Nacional de Cardiologia, Rio de Janeiro, RJ, Brasil. Instituição onde trabalho foi executado: Instituto Nacional de Cardiologia, Rio de Janeiro, RJ, Brasil. Informações sobre auxílios recebidos sob a forma de financiamento, equipamentos ou medicamentos: Pesquisa realizada sem qualquer auxílio financeiro, de equipamento ou de medicamentos. Congressos: A pesquisa em questão não foi apresentada em nenhum congresso até o momento. Autor correspondente: Carlos Eduardo Pessanha Boller. Rua Assis Bueno, 12/605, Botafogo, Rio de Janeiro, RJ, Brasil. CEP: 22280-080. Telefone: (21) 98794-0200. E-mail: kadu.boller@gmail.com Palavras-chave: cateterismo venoso central, ultrassonografia de intervenção, avaliação de custo-efetividade, veias jugulares |
| Starting Page | 112 |
| Ending Page | 118 |
| Page Count | 7 |
| File Format | PDF HTM / HTML |
| DOI | 10.21115/jbes.v11.n2.p112-8 |
| Volume Number | 11 |
| Alternate Webpage(s) | http://docs.bvsalud.org/biblioref/2019/09/1021040/02_ao_cateterismo-veia.pdf |
| Alternate Webpage(s) | https://doi.org/10.21115/jbes.v11.n2.p112-8 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
