1. Use of a collagen hemostatic closure device to achieve hemostasis after arterial puncture: A cost-effectiveness analysis
- Author
-
Bos, JJ, Hunink, MGM, Mali, WPTM, and University of Groningen
- Subjects
arteries ,PLUG ,MANUAL COMPRESSION ,peripheral, cost-effectiveness ,interventional procedures, complications ,CARDIAC-CATHETERIZATION ,CORONARY ANGIOPLASTY ,HEALTH ,angiography, complications ,STENT IMPLANTATION ,health care economics and organizations ,RANDOMIZED TRIAL ,SITE CLOSURE - Abstract
PURPOSE: To evaluate whether a collagen hemostatic closure device is a safe, cost-effective alternative to manual compression for achieving hemostasis at arterial puncture sites. MATERIALS AND METHODS: A cost-effectiveness analysis, based on a meta-analysis of published data, was performed from the perspective of the health-care system. The gain in effectiveness was expressed as the decrease in rate of puncture-site complications that required treatment,.Costs associated with achieving hemostasis and treating complications were included. RESULTS: Use of a collagen closure device decreased the number of puncture-site complications from 31:1,000 to 16:1,000. The average cost of using the device was $177 per patient compared with $42 per patient for manual compression. The incremental cost of averting one complication exceeded $9,000. CONCLUSION: Use of a collagen closure device to achieve hemostasis after an arterial puncture may reduce the complication rate, but the additional cost per complication averted is very high.
- Published
- 1996