Prophylactic inferior vena cava filter insertion for XXXX : intensive care unit versus operating room.

@entity1 @entity542 @entity1566 @entity6323 @entity130
The frequency of insertion of prophylactic @entity6323 ( @entity6323 ) among traumatized @entity1 has increased nationally. That has placed a substantial operational and economic burden upon @entity130 centers. The purpose of this study was to compare and contrast successful implantation, morbidity, and cost-effectiveness of prophylactic @entity6323 insertion in a surgical- @entity130 intensive care unit (STICU) versus an operating room (OR). A retrospective chart review was conducted of all @entity130 @entity1 who received a prophylactic @entity6323 at an urban Level I @entity130 center between January 1999 and December 2003. Data were collected to identify @entity1 demographics, indications, anatomical site of insertion, hospital location of insertion, hospital days before insertion, and complications associated with insertion. One hundred thirty-four @entity1 underwent prophylactic @entity6323 during the study period: seventy-eight (58%) in the OR and fifty-six (42%) in the STICU. The average age of @entity1 for the OR and STICU groups were 38.6 years and 39.6 years, respectively. The average number of days to @entity6323 insertion was 6.5 days and 7.0 days in the OR and STICU groups, respectively. Indications for @entity6323 among @entity1 who had placement in the OR were @entity130 (60%), @entity1566 (25%), and @entity542 (15%). Indications for @entity6323 among @entity1 who had placement in the STICU were @entity542 (38%), @entity130 (34%), and @entity1566 (25%). Three (3.8%) @entity1 in the OR group and two (3.6%) @entity1 in the STICU group required a change of anatomic insertion site from the femoral to the internal jugular vein. There were two (2.6%) complications associated with @entity6323 insertion in the OR and two (3.5%) complications associated with @entity6323 insertion in the STICU (P > 0.05). Insertion of @entity6323 in the STICU decreased @entity1 -cost by an average of dollar 1636 per @entity1 . Prophylactic @entity6323 insertion in an STICU is cost-effective and can be performed with similar success and complication rates to @entity6323 insertion in an OR.
