Document Detail


Hospital-based costs associated with venous thromboembolism prophylaxis regimens.
MedLine Citation:
PMID:  19847624     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Clinically and economically, venous thromboembolic (VTE) disease represents a significant burden to the US healthcare system. This analysis compares the total direct medical costs associated with VTE prophylaxis with enoxaparin and unfractionated heparin (UFH). Hospital discharge and billing records were extracted from the Premier Perspective database (January 2002-December 2006). The primary outcome was the total direct medical costs for discharges that were at risk of VTE and received enoxaparin or UFH. A total of 894,364 discharge records met the study inclusion criteria, of which 39.4% received enoxaparin and 60.6% received UFH. After adjustment for pre-defined covariates, mean total direct medical costs per discharge for the UFH group were $6,443, $1,080 more than those for the enoxaparin group ($5,363; P < .0001). In conclusion, enoxaparin prophylaxis is a cost-saving therapy, when compared with UFH, for the prevention of VTE in patients with a diverse range of medical conditions conferring VTE risk.
Authors:
Geno Merli; Cheryl P Ferrufino; Jay Lin; Mohammed Hussein; David Battleman
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of thrombosis and thrombolysis     Volume:  29     ISSN:  1573-742X     ISO Abbreviation:  J. Thromb. Thrombolysis     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-10     Completed Date:  2010-08-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9502018     Medline TA:  J Thromb Thrombolysis     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  449-58     Citation Subset:  IM    
Affiliation:
Jefferson Vascular Diseases Center, Jefferson Medical College, Thomas Jefferson University Hospital, Suite 6250, Philadelphia, PA 19107, USA. geno.merli@jefferson.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Anticoagulants / administration & dosage*,  economics*
Costs and Cost Analysis
Databases, Factual
Enoxaparin / administration & dosage*,  economics*
Female
Humans
Male
Middle Aged
Retrospective Studies
Risk Factors
Venous Thromboembolism / economics*,  prevention & control*
Chemical
Reg. No./Substance:
0/Anticoagulants; 0/Enoxaparin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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