Cost-benefice in the utilization of Mahurkar cateter versus the internal artery venous fistula
Main Article Content
Keywords
Cost-benefit, Arteriovenous fistula, Haemodialisis, Chronic renal failure
Abstract
Objective: to identify the cost-benefit that implies the use of the Mahurkar catheter versus Internal Arteriovenous Fistula (FAVI).
Material and methods: study costbenefit made in 40 patients (20 with FAVI and 20 with Mahurkar catheter) in the program of hemodialisis at the Hospital of Speciaities 14 of Veracruz. The information was collected in a guide of observation and through the overhaul of files and with data of the vascular access road, as
well as the registry of costs.
Results: the Mahurkar group was itself affected by complications in 95% against FAVI in 5%, projecting a reason cost-benefit from 0.22 in favor of FAVI. The beginning a reason was observed cost benefit of 2.00 in favor of the Mahurkar catheter, the use prolonged of this one, caused an economic impact for the institution, due to the complications; considering that the average of life of the catheter is from two to three to 3 months and FAVI 10 to 15 years.
Conclusions: the cost-benefit in the use of vascular access FAVI justifies by the mediate benefit to the patient and institution; suggesting the opportune programming of the fistulas in order to offer one better
quality of life to the patient.
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