Table 3.
Resource consumption and costs (€) of pre-discharge venous thromboembolism incurred in hospital and after discharge (outpatient) (costs in 2010 euros)
| Resource consumption | DVT after THR (units) | DVT after TKR (units) | nf PE after THR(units) | nf PE after TKR(units) | Unit prices (€) | Source | |
|---|---|---|---|---|---|---|---|
| In hospital |
Diagnostics |
|
|
||||
| Blood gas analysis |
0.0 |
0.0 |
1.0 |
1.0 |
4.95 |
[19,27,28], UTHC |
|
| |
D-dimer |
1.0 |
1.0 |
1.0 |
1.0 |
9.90 |
[19,27,28], UTHC |
| |
Doppler ultrasound |
1.0 |
1.0 |
0.0 |
0.0 |
9.90 |
[19,27,28], UTHC |
| |
Chest X-ray |
0.0 |
0.0 |
1.0 |
1.0 |
7.70 |
[19,27,28], UTHC |
| |
ECG |
0.0 |
0.0 |
1.0 |
1.0 |
8.36 |
[19,27,28], UTHC |
| |
CT |
0.0 |
0.0 |
1.0 |
1.0 |
154.00 |
[19,27,28], UTHC |
| |
Echocardiography |
0.0 |
0.0 |
1.0 |
1.0 |
27.50 |
[19,27,28], UTHC |
| |
Treatment |
|
|
||||
| |
Enoxaparin sodium |
12.0 |
12.0 |
12.0 |
12.0 |
9.98 |
[19,27-29] |
| |
Subcutaneous injection |
12.0 |
12.0 |
12.0 |
12.0 |
2.20 |
[19,27,28], UTHC |
| |
Blood sample (TZ) |
1.0 |
1.0 |
1.0 |
1.0 |
5.50 |
[19,27,28], UTHC |
| |
Phenprocoumon (days) |
10.3 |
10.0 |
11.0 |
12.7 |
0.17 |
[19,27-29] |
| |
Anticoagulant monitoring1 |
2.0 |
2.0 |
2.0 |
2.0 |
8.80 |
[19,27,28], UTHC |
| |
Compression therapy |
1.0 |
1.0 |
1.0 |
1.0 |
5.23 |
[19,27,28], UTHC |
| |
Additional LOS2 (€) |
1,086.27 |
919.15 |
1,716.45 |
1,973.73 |
|
[4,16,19,26] |
| Total costs for hospital (€) |
1,282.27 |
1,115.14 |
2,105.22 |
2,362.79 |
|
||
| In hospital |
Extra DRG reimbursement³ |
0 |
0 |
0 |
191.46 |
|
|
| Outpatient |
Treatment |
|
|||||
| |
Outpatient visit4 |
1.0 |
1.0 |
1.0 |
1.0 |
53.16 |
[19,27,28,30] |
| |
Phenprocoumon (days) |
79.7 |
80.0 |
79.0 |
77.3 |
0.17 |
[19,27,28,30] |
| |
INR measurement |
10.0 |
10.0 |
10.0 |
10.0 |
1.68 |
[19,27,28,30] |
| |
Compression stockings |
2.0 |
2.0 |
2.0 |
2.0 |
36.90 |
[19,27,28,30] |
| Total costs for health insurance (€) | 157.35 | 157.40 | 157.23 | 348.40 | |||
DVT = deep vein thrombosis, THR = total hip replacement, TKR = total knee replacement, nf PE = non-fatal pulmonary embolism, ECG = electrocardiogram, CT = computerized tomography with contrast agent, TZ = thrombocytes, LOS = length of stay, UTHC = University teaching hospital in Cologne, Germany.
1Including blood sample and INR (international normalized ratio) measurement.
²Additional hospital days are derived from Tilleul et al. [26] and calculated as 3.9 days for DVT and 4.6 days for non-fatal PE after THR;
3.3 days for DVT and 6.0 days for non-fatal PE after TKR.
³DRG reimbursement for an extended hospital stay beyond 18 days.
4Flat rate including all outpatient visits and blood samples every quarter (3 months).