¿Se puede mejorar la eficiencia en procedimientos cardiológicos percutáneos? Dispositivos hemostáticos vasculares femorales

Abstract

ObjectiveTo demonstrate that the use of hemostatic closure devices for the closure of femoral puncture sites after cardiac catheterization improves the quality of patient care and reduces hospital cost by decreasing length of hospital stay. MethodIn this descriptive study, two series of consecutive patients underwent cardiac catheterization: a study group of 103 patients in which the device was used (2002) and a control group of 116 patients in which the device was not used (2001). The effect of these hemostatic devices on reduction of mean length of hospital stay (through early ambulation and reduction in major vascular adverse events), as well as the subsequent decrease in hospital costs, were analyzed. ResultsMajor vascular adverse events in the puncture site after the procedure decreased (occurring in only three patients and these events were unrelated to the device). The mean length of hospital stay was markedly reduced in patients in whom the collagen hemostatic vascular closure device was used: 2.3 days vs 3.1 days, representing a 33% decrease with a saving of 72.51 e per patient (332.83 e in the case of an interventional procedure). ConclusionsThe use of this hemostatic closure device improves efficiency in percutaneous cardiac catheterization and reduces costs in both diagnostic and interventional procedures.