OBJECTIVES: To evaluate the clinical effect and cost-effectiveness of the hospital management programfor prevention and treatment of venous thrombosis based on information technology.

METHODS: Inpatients with deep venous thrombosis were included in the study. Relevant data from January to May 2016 were selected as the control group and those from June to December 2016 as the trial group. T test was used for comparison among groups, and X²test was used for inter-group comparison of count data. This study uses incremental cost effectiveness ratio to analyze the effectiveness of the program.

RESULTS: A total of 75 VTE patients were diagnosed in the control group and 117 patients in the trial group. There was no significant difference in age and sex between two groups. After the implementation of VTE prevention management program, the rate of treatment increased (81.9% vs 63.2%, p=0.017), VTE caused deaths decreased (0case vs 2cases). The average length of Stay (14.7d vs 17.9d, p>0.05) in the trial group was reduced by 3.2 days compared with the control group, and the difference was not statistically significant. The average hospitalization cost of the patients during the trial group was 45330.5 RMB, and the control group was 47037.2 RMB, but the difference was not statistically significant (P>0.05). This management program is to embed risk assessment tools into HIS system, HIS system can realize automatic calculation of risk level and early warning management for high-risk patients who need intervention. Therefore, the improvement of this management program has no cost increase and has increased clinical implementation effect, so this management program is cost-effective.

CONCLUSIONS: Establishing an information-based hospital management system for prevention and treatment of venous thromboembolism can effectively improve the early diagnosis and intervention rate of VTE patients in our hospital, effectively reduce the risk of VTE without increasing the cost of medical treatment.