Vascular Access Devices: A Comparative Analysis of Complications and Their Cost Implications

Author(s)

Bouguerra H1, Waltl F2, Dierick K3
1Terumo BCT, arcueil, France, 2Terumo BCT, Garching bei München, BY, Germany, 3Terumo BCT Europe NV, Zavemtem, Belgium

OBJECTIVES: This study aimed to conduct a literature review to identify adverse events associated with peripheral vascular access and other commonly used access devices, and assess these events' economic burden and cost implications.

METHODS: A literature review was conducted using PubMed to gather relevant studies and publications reporting on adverse events related to peripheral catheters (PVC), peripherally inserted central catheters (PICC), midline catheters (MC), and central venous catheters (CVC).

The identified adverse events included deep vein thrombosis (DVT), bloodstream infection (such as CLABSI or sepsis), pneumothorax, phlebitis, occlusion, and pulmonary embolism. To assess the economic burden, the costs associated with each adverse event were also obtained.

RESULTS: The findings revealed varying rates of adverse events across different types of vascular access. The rates of DVT ranged from 2.36% for peripheral catheters (PVC) to 10.91% for central venous catheters (CVC). Bloodstream infections ranged from 0.21% for PVC to 11.82% for CVC. Other adverse events such as pneumothorax, phlebitis, occlusion, and pulmonary embolism also exhibited varying rates across the different access devices. Furthermore, the economic burden associated with these adverse events was calculated by multiplying the rates by their respective costs. The total economic burden was highest for CVC, with a total cost of $3,074.79, followed by PICC ($1,302.07), Midline Catheter (MC) ($1,424.02), and PVC ($328.33).

CONCLUSIONS: The study highlights the prevalence of adverse events associated with different vascular access types, with varying rates observed among these devices.

The economic burden analysis underscores the substantial cost implications linked to these adverse events. PICCs and CVCs, and MCs exhibited higher cost implications compared to PVCs.

Understanding these events’ rates and economic impact can help healthcare providers improve patient safety and the cost-effectiveness of vascular access procedures.

Conference/Value in Health Info

2023-11, ISPOR Europe 2023, Copenhagen, Denmark

Value in Health, Volume 26, Issue 11, S2 (December 2023)

Code

PCR45

Topic

Economic Evaluation, Medical Technologies

Topic Subcategory

Medical Devices

Disease

Drugs, Injury & Trauma, Medical Devices

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