title: Cost-effective supply use in permanent central venous catheter operations.
abstract: A prospective, randomized trial was designed to determine whether a streamlined operating room supply pack was cost-effective in the placement of permanent central venous catheters. Over a 12-month period, 139 consecutive patients were randomized and evaluated. There were no differences found between the mean ages, sex, indication for catheter placement, mean operative time, or surgeon and nurse satisfaction between treatment groups. In addition, 30-day catheter infection rate, 30-day catheter malfunction rate, and 30-day catheter removal rate were similar between groups. Supply costs were $411.32 per patient operation in the control group and only $180.34 per patient operation in the study group, resulting in an average cost-effectiveness ratio of $230.98 per catheter placed. Based on these data, a streamlined operating room supply setup is cost-effective in the operative placement of permanent central venous catheters.
authors.affiliation: Department of Surgery, Roudebush Veterans Affairs Medical Center, Indianapolis, IN, USA.
authors.forename: T J
authors.initials: TJ
authors.lastname: Howard
authors.forename: C P
authors.initials: CP
authors.lastname: Stines
authors.forename: J A
authors.initials: JA
authors.lastname: O'Connor
authors.forename: W S
authors.initials: WS
authors.lastname: Schuster
authors.forename: E A
authors.initials: EA
authors.lastname: Wiebke
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002405:Catheterization, Central Venous / Q000191:economics* / Q000295:instrumentation; D003362:Cost-Benefit Analysis; D004865:Equipment and Supplies, Hospital / Q000191:economics*; D005260:Female; D006745:Hospital Bed Capacity, 300 to 499; D017721:Hospital Costs; D006785:Hospitals, University; D006801:Humans; D007196:Indiana; D008297:Male; D008875:Middle Aged; D009873:Operating Rooms / Q000191:economics*; D011446:Prospective Studies