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COST ANALYSIS OF PERIPHERALLY INSERTED CENTRAL CATHETER IN PEDIATRIC PATIENTS

Published online by Cambridge University Press:  20 December 2017

Zhaoxin Dong Open the ORCID record for Zhaoxin Dong [Opens in a new window] ,
Bairbre L. Connolly ,
Wendy J. Ungar  and
Peter C. Coyte
Zhaoxin Dong
Affiliation:
Institute of Health Policy, Management and Evaluation
Bairbre L. Connolly
Affiliation:
Department of Diagnostic Imaging
Wendy J. Ungar
Affiliation:
Institute of Health Policy, Management and Evaluation Program of Child Health Evaluative Sciences
Peter C. Coyte
Affiliation:
Institute of Health Policy, Management and Evaluationpeter.coyte@utoronto.ca
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Abstract

Purpose: A peripherally inserted central catheter (PICC) is a useful option in providing secure venous access, which enables patients to be discharged earlier with the provision of home care. The objective was to identify the costs associated with having a PICC from a societal perspective, and to identify factors that are associated with total PICC costs.

Methods: Data were obtained from a retrospective cohort of 469 hospitalized pediatric patients with PICCs inserted. Both direct and indirect costs were estimated from a societal perspective. Insertion costs, complication costs, nurse and physician assessment costs, inpatient ward costs, catheter removal costs, home care costs, travel costs, and the cost associated with productivity losses incurred by parents were included in this study.

Results: Based on catheter dwell time, the median total cost associated with a PICC per patient per day (including inpatient hospital costs) was $3,133.5 ($2,210.7–$9,627.0) in 2017 Canadian dollars ($1.00USD = $1.25CAD in 2017). The adjusted mean cost per patient per day was $2,648.2 ($2,402.4–$2,920.4). Excluding inpatient ward costs, the median total and adjusted costs per patient per day were $198.8 ($91.8–$2,475.8) and $362.7($341.0–$386.0), respectively. Younger age, occurrence of complications, more catheter dwell days, wards with more intensive care, and the absence of home care were significant factors associated with higher total PICC costs.

Conclusions: This study has demonstrated the costs associated with PICCs. This information may be helpful for healthcare providers to understand PICC related cost in children and resource implications.

Keywords

PICCsCost analysisDirect costIndirect costPediatric patients
Type
Assessments
Information
International Journal of Technology Assessment in Health Care , Volume 34 , Issue 1 , 2018 , pp. 38 - 45
Copyright
Copyright © Cambridge University Press 2017 

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