Direct costs of rescue procedures to manage vascular access complications in conventional hemodialysis
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista da Escola de Enfermagem da USP (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342021000100546 |
Resumo: | ABSTRACT Objective: To measure the average direct cost of procedures performed by health professionals, in a Dialysis Center, for the management of complications of vascular access for hemodialysis. Method: Quantitative, exploratory-descriptive case study type research. The average direct cost was calculated by multiplying the time spent by health professionals by the unit cost of direct labor, adding this to the input costs (materials/ medicines/solutions). Results: The following average direct costs were obtained: US$0.72, US$2.00 and US$1.41 for “administration of easy-to-dilute, difficult-to-dilute, and undiluted antibiotics”, respectively; $2.61 for “central venous catheter dressing with topical antibiotic”; $48.05 for “alteplase infusion”; US$183.68 for “insertion of central venous catheter for hemodialysis”; and $1.31 for “arteriovenous fistula puncture”. Conclusion: Material and drug costs significantly contributed to the composition of the average total direct cost of most procedures. |
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Revista da Escola de Enfermagem da USP (Online) |
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|
spelling |
Direct costs of rescue procedures to manage vascular access complications in conventional hemodialysisRenal Insufficiency, ChronicHemodialysis Units, HospitalNephrology NursingCatheterization, Central VenousArteriovenous FistulaCosts and Cost AnalysisABSTRACT Objective: To measure the average direct cost of procedures performed by health professionals, in a Dialysis Center, for the management of complications of vascular access for hemodialysis. Method: Quantitative, exploratory-descriptive case study type research. The average direct cost was calculated by multiplying the time spent by health professionals by the unit cost of direct labor, adding this to the input costs (materials/ medicines/solutions). Results: The following average direct costs were obtained: US$0.72, US$2.00 and US$1.41 for “administration of easy-to-dilute, difficult-to-dilute, and undiluted antibiotics”, respectively; $2.61 for “central venous catheter dressing with topical antibiotic”; $48.05 for “alteplase infusion”; US$183.68 for “insertion of central venous catheter for hemodialysis”; and $1.31 for “arteriovenous fistula puncture”. Conclusion: Material and drug costs significantly contributed to the composition of the average total direct cost of most procedures.Universidade de São Paulo, Escola de Enfermagem2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342021000100546Revista da Escola de Enfermagem da USP v.55 2021reponame:Revista da Escola de Enfermagem da USP (Online)instname:Universidade de São Paulo (USP)instacron:USP10.1590/1980-220x-reeusp-2021-0156info:eu-repo/semantics/openAccessde Melo,Ana Cláudia TavaresLima,Antônio Fernandes Costaeng2021-09-10T00:00:00Zoai:scielo:S0080-62342021000100546Revistahttp://www.scielo.br/reeuspPUBhttps://old.scielo.br/oai/scielo-oai.php||nursingscholar@usp.br1980-220X0080-6234opendoar:2021-09-10T00:00Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Direct costs of rescue procedures to manage vascular access complications in conventional hemodialysis |
title |
Direct costs of rescue procedures to manage vascular access complications in conventional hemodialysis |
spellingShingle |
Direct costs of rescue procedures to manage vascular access complications in conventional hemodialysis de Melo,Ana Cláudia Tavares Renal Insufficiency, Chronic Hemodialysis Units, Hospital Nephrology Nursing Catheterization, Central Venous Arteriovenous Fistula Costs and Cost Analysis |
title_short |
Direct costs of rescue procedures to manage vascular access complications in conventional hemodialysis |
title_full |
Direct costs of rescue procedures to manage vascular access complications in conventional hemodialysis |
title_fullStr |
Direct costs of rescue procedures to manage vascular access complications in conventional hemodialysis |
title_full_unstemmed |
Direct costs of rescue procedures to manage vascular access complications in conventional hemodialysis |
title_sort |
Direct costs of rescue procedures to manage vascular access complications in conventional hemodialysis |
author |
de Melo,Ana Cláudia Tavares |
author_facet |
de Melo,Ana Cláudia Tavares Lima,Antônio Fernandes Costa |
author_role |
author |
author2 |
Lima,Antônio Fernandes Costa |
author2_role |
author |
dc.contributor.author.fl_str_mv |
de Melo,Ana Cláudia Tavares Lima,Antônio Fernandes Costa |
dc.subject.por.fl_str_mv |
Renal Insufficiency, Chronic Hemodialysis Units, Hospital Nephrology Nursing Catheterization, Central Venous Arteriovenous Fistula Costs and Cost Analysis |
topic |
Renal Insufficiency, Chronic Hemodialysis Units, Hospital Nephrology Nursing Catheterization, Central Venous Arteriovenous Fistula Costs and Cost Analysis |
description |
ABSTRACT Objective: To measure the average direct cost of procedures performed by health professionals, in a Dialysis Center, for the management of complications of vascular access for hemodialysis. Method: Quantitative, exploratory-descriptive case study type research. The average direct cost was calculated by multiplying the time spent by health professionals by the unit cost of direct labor, adding this to the input costs (materials/ medicines/solutions). Results: The following average direct costs were obtained: US$0.72, US$2.00 and US$1.41 for “administration of easy-to-dilute, difficult-to-dilute, and undiluted antibiotics”, respectively; $2.61 for “central venous catheter dressing with topical antibiotic”; $48.05 for “alteplase infusion”; US$183.68 for “insertion of central venous catheter for hemodialysis”; and $1.31 for “arteriovenous fistula puncture”. Conclusion: Material and drug costs significantly contributed to the composition of the average total direct cost of most procedures. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342021000100546 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342021000100546 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1980-220x-reeusp-2021-0156 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo, Escola de Enfermagem |
publisher.none.fl_str_mv |
Universidade de São Paulo, Escola de Enfermagem |
dc.source.none.fl_str_mv |
Revista da Escola de Enfermagem da USP v.55 2021 reponame:Revista da Escola de Enfermagem da USP (Online) instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista da Escola de Enfermagem da USP (Online) |
collection |
Revista da Escola de Enfermagem da USP (Online) |
repository.name.fl_str_mv |
Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||nursingscholar@usp.br |
_version_ |
1748936541481205760 |