Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2002-10-31
pubmed:abstractText
The aim of this study was to assess costs and safety of immediate femoral sheath removal and closure with a suture-mediated closure device (Perclose, Menlo Park, CA) in patients undergoing elective (PCI). A total of 193 patients was prospectively randomized to immediate arterial sheath removal and access site closure with a suture-mediated closure device (SMC; n = 96) or sheath removal 4 hr after PCI followed by manual compression (MC; n = 97). In the SMC group, patients were ambulated 4 hr after elective PCI if hemostasis was achieved. In the MC group, patients were ambulated the day after the procedure. In addition to safety, total direct costs including physician and nursing time, infrastructure, and the device were assessed in both groups. Total direct costs were significantly (all P < 0.001) lower in the SMC group. Successful hemostasis without major complication was achieved in all patients. The time to achieve hemostasis was significantly shorter in the SMC group (7.1 +/- 3.4 vs. 22.9 +/- 14.0 min; P < 0.01) and 85% of SMC patients were ambulated on the day of intervention. Suture-mediated closure allows a reduction in hospitalization time, leading to significant cost savings due to decreased personnel and infrastructural demands. In addition, the use of SMC is safe and convenient to the patients.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
1522-1946
pubmed:author
pubmed:copyrightInfo
Copyright 2002 Wiley-Liss, Inc.
pubmed:issnType
Print
pubmed:volume
57
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
297-302
pubmed:dateRevised
2010-11-18
pubmed:meshHeading
pubmed-meshheading:12410501-Aged, pubmed-meshheading:12410501-Angioplasty, Balloon, Coronary, pubmed-meshheading:12410501-Bandages, pubmed-meshheading:12410501-Coronary Artery Disease, pubmed-meshheading:12410501-Costs and Cost Analysis, pubmed-meshheading:12410501-Early Ambulation, pubmed-meshheading:12410501-Equipment Safety, pubmed-meshheading:12410501-Female, pubmed-meshheading:12410501-Follow-Up Studies, pubmed-meshheading:12410501-Hemoglobins, pubmed-meshheading:12410501-Hemostasis, Surgical, pubmed-meshheading:12410501-Humans, pubmed-meshheading:12410501-Male, pubmed-meshheading:12410501-Middle Aged, pubmed-meshheading:12410501-Postoperative Complications, pubmed-meshheading:12410501-Prospective Studies, pubmed-meshheading:12410501-Suture Techniques, pubmed-meshheading:12410501-Treatment Outcome
pubmed:year
2002
pubmed:articleTitle
Comparison of costs and safety of a suture-mediated closure device with conventional manual compression after coronary artery interventions.
pubmed:affiliation
Department of Clinical Medicine, Division of Cardiology, Kantonsspital, St. Gallen, Switzerland. hans.rickli@kssg.ch
pubmed:publicationType
Journal Article, Clinical Trial, Comparative Study, Randomized Controlled Trial, Evaluation Studies