Picc Excellence logo

PICC Excellence, Inc

Picc Excellence Twitter Icon Picc Excellence Facebook Icon
Shopping Cart Image
login/create account

Cost Comparison Of Electrocardiography Versus Fluoroscopy For Central Venous Line Positioning In Children.

Content:
Tierney S, Katke J, Langer J. Cost Comparison Of Electrocardiography Versus Fluoroscopy For Central Venous Line Positioning In Children. Journal of American College of Surgeons. Sep 2000;191(2):209-211. BACKGROUND: Although most central venous lines in children are positioned using fluoroscopy, electrocardiography (ECG) has been shown to be accurate, and avoids unnecessary radiation exposure. We studied whether ECG may also have cost advantages. STUDY DESIGN: All ports and Hickman/Broviac catheters placed during a 2.5-year period were reviewed. Two surgeons routinely used fluoroscopy, and two used ECG. Costs included surgeon and anesthesia fees, operating room use, and fluoroscopy equipment and personnel. RESULTS: There were 287 cases with sufficient data to be included in the study (167 fluoroscopy and 120 ECG). In the ECG group, 12 (10%) were converted to fluoroscopy because an adequate tracing could not be obtained, but they were kept in the ECG group for data analysis. The groups were similar with regard to age, gender, indication, previous catheters, and intraoperative or postoperative complications. Time for surgical placement of the line was not significantly affected by the positioning technique. Ports placed using ECG were less costly than those placed fluoroscopically ($2,880+/-408 versus $3,595+/-357, p<0.001), and the same was true for tunneled external catheters ($2,249 +/- 435 versus $2,923+/-350, p<0.001). CONCLUSIONS: The ECG technique was less costly than fluoroscopy, despite a 10% conversion rate. At our center, the savings were approximately $700 per procedure. Because operating room time used is similar, the additional cost of fluoroscopy can be attributed to the need for x-ray equipment and personnel. Link to reference

Return to Resource Center

| Education | Resource Center | Consulting | Contact Us | About Us | Site Map

PICC Excellence Inc. an educational service for clinicians



Picc Excellence Twitter Icon Picc Excellence Facebook Icon

401 E. Howell St. Hartwell, GA 30643

info@piccexcellence.com

(706) 377 3360

PICC Certification ™ and CPUI ™ are trademarks. Used under license. © 2019 PICC Excellence, Inc. All Rights Reserved.

Provider approved by the California Board of Registered Nursing. Provider # CEP15304, and Florida Board of Nursing Provider # 50-1594. And the Canadian Association of Medical Radiation Technologists (CAMRT)