Standardization of the ultrasound for catheterism in brazilian Sistema Único de Saúde (SUS): recommendation of cost-effectiveness analysis

• Autor(a) principal: Boller, Carlos Eduardo Pessanha
• Data de Publicação: 2020
• Outros Autores: Senna, Kátia Marie Simões, Teixeira, Roberta da Silva, Goulart, Marcelo Correa, Tura, Bernardo Rangel, Santos, Marisa da Silva
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Research, Society and Development
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/4910
• topic: Cateterismo venoso central; Ultrasonografía intervencional; Evaluación de costo-efectividad; Vena subclavia; Guía de práctica clínica.; Cateterismo venoso central; Ultrassonografia de intervenção; Avaliação de custo-efetividade; Veia subclávia; Guia de prática clínica.; Catheterization; Central venous; Ultrasonography; Interventional; Cost-Effectiveness evaluation; Subclavian Vein; practice guideline.

The standardization process of certain technologies in the Brazilian Unified Health System must be proceded by cost-effectiveness analyzes. The catheterization procedure is performed in 8% of hospitalized patients and in 15% it causes complications. In view of this scenario, a technology that can provide safety for patients and professionals and reduce the rate of complications must be analyzed and perhaps incorporated into the medical routine. In this way, the objective is to determine the economic feasibility of the technique of central catheterization in a subclavian vein guided by ultrasound compared to guidance by anatomical references, from the perspective of the Brazilian Unified Health System. Through cost-effectiveness analysis using a decision tree model under a population of adult patients in a tertiary health care setting with materials and procedures costs estimated in Brazilian purchase records banks. The outcomes were defined in a literature review by incidence. The results showed that the intervention cost the procedure R$53.81. Despite this, 80.1% of the simulations proved to be cost-effective and 16.5% “dominant”. Other factores corroborated the discussion, concluding the intervention as very cost-effective and the result brings security to de manager when making decisions regarding the standardization of technology.