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DVT Surveillance Program in the ICU: Analysis of Cost-Effectiveness

Author

Listed:
  • Ajai K Malhotra
  • Stephanie R Goldberg
  • Laura McLay
  • Nancy R Martin
  • Luke G Wolfe
  • Mark M Levy
  • Vishal Khiatani
  • Todd C Borchers
  • Therese M Duane
  • Michel B Aboutanos
  • Rao R Ivatury

Abstract

Background: Venous Thrombo-embolism (VTE – Deep venous thrombosis (DVT) and/or pulmonary embolism (PE) – in traumatized patients causes significant morbidity and mortality. The current study evaluates the effectiveness of DVT surveillance in reducing PE, and performs a cost-effectiveness analysis. Methods: All traumatized patients admitted to the adult ICU underwent twice weekly DVT surveillance by bilateral lower extremity venous Duplex examination (48-month surveillance period – SP). The rates of DVT and PE were recorded and compared to the rates observed in the 36-month pre-surveillance period (PSP). All patients in both periods received mechanical and pharmacologic prophylaxis unless contraindicated. Total costs – diagnostic, therapeutic and surveillance – for both periods were recorded and the incremental cost for each Quality Adjusted Life Year (QALY) gained was calculated. Results: 4234 patients were eligible (PSP – 1422 and SP – 2812). Rate of DVT in SP (2.8%) was significantly higher than in PSP (1.3%) – p

Suggested Citation

  • Ajai K Malhotra & Stephanie R Goldberg & Laura McLay & Nancy R Martin & Luke G Wolfe & Mark M Levy & Vishal Khiatani & Todd C Borchers & Therese M Duane & Michel B Aboutanos & Rao R Ivatury, 2014. "DVT Surveillance Program in the ICU: Analysis of Cost-Effectiveness," PLOS ONE, Public Library of Science, vol. 9(9), pages 1-7, September.
    • Handle: RePEc:plo:pone00:0106793
    DOI: 10.1371/journal.pone.0106793
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