N0 Tindakan Biaya

1 Prosedur Pencegahan ( perpatient )

Intermittent pneumatic compression of the legs 32

Leg scanning with iodine -125 labelled fibrinogen 84

Intravenous administration of dextran 102

Subcutaneous administration of heparin in low doses 19

2 Prosedur Pengobatan
Venography 87
NAMA : Zaenal Jafar
NIM : 0049.10.14.2020
KELAS : AKK.2

N0 Tindakan Biaya

3 Full – dose anticoagulant therapy ( per patient )

Hospitalization cost ( for 7 extra days at $ 290 per 2029
day
Intravenous Heparin therapy 29
Laboratory tests 103
Warfarin Therapy 9
Physician fees 34
Total 2204

N0 Tindakan suspek
1 Pendekatan sekarang ( no program )
N0. of patients with clinical suspected deep 49
vein
N0. of patients with clinical suspected 29
pulmonary embolism
N0. of positive venograms 22
N0. of positive lung scans 17
N0. of Deaths 7
N0 Tindakan suspek
2. Pemberian Heparin Subcutan
N0. of patient with suspected deep vein 15
thrombosis
N0. of patient with suspected pulmonary 15
embolism
N0. of positive venograms 7
N0. of positive lung scans 7
Death 1

N0 Tindakan suspek
3 Pemberian Dextran , intravena
N0. of patient with suspected deep vein 23
thrombosis
N0. of patient with suspected pulmonary 15
embolism
N0. of positive venograms 12
N0. of positive lung scans 7
Death 1

N0 Tindakan suspek
5. Scan kaki
N0. of positive scans 138
N0. of patients with suspected pulmonary 20
embolism
N0. of positive venograms 108
N0. of positive lung scans 8
Deaths ( not known , although it is thought that
leg scanning is
effective in preventing fatal pulmonary
embolism )
 15x 87 =
-7
1000 x 19 =
$ 1.305 +7 14 x 2.204 = $30.856
$19.000
Venography
Low dose Susp. DVT
heparin Anti Coagulant
DVT Theraphy
+7
Susp. PE
15x 116=
20.000+1.408+1.872+35.334=58.624
Lung Scanning -7
$ 1.740
=$59.000

23x 87 = -10
$ 2.001 +12 22 x 2.204 = $44.528
Venography
High 1000 x 102
= $102.000
Susp. DVT Anti Coagulant
Risk +7 Theraphy
Dextran DVT
Surgical
$20.000
Patients Susp. PE

15x 116= -7 102.000+2.001+1.740+44.528= 150.269

Lung Scanning
$ 1.740 =$150.000

15x 87 = -7
$ 1.305 14 x 2.205 = $30.870
+7
1000 x 32 = Venography
Susp. DVT Anti Coagulant
Intermitent $32.000
Compression DVT Theraphy
$20.000 +7
Of Legs
Susp. PE

15x 116= -7 32.000+1.305+1.740+30.870= 65.915

Lung Scanning
$ 1.740 =$66.000
 138x 87 =
-33
1000 x 84=
$ 12.006 +104 137 x 2.205= $302.085
$84.000
Venography
Leg Susp. DVT
Scanning Anti Coagulant
DVT Theraphy
+4
Susp. PE
20x 116= -15 84.000+12.006+2.320+302.085=400.411
Lung Scanning
$ 2.320
=$400.000

-26

50 x 87= Venography +22

High Susp. DVT 48 x 2.205 = $105.840
Risk Traditional 4.350
Surgical “No
Patients Programme DVT 30x 116 =
Anti Coagulant
” $3.480
+17 Theraphy
Approach
Susp. PE

Lung Scanning -11

4.350+3.480+105.840= 113.670

=$114.000
 STRATEGI DATA BIAYA TAMBAHAN
BIAYA/ MATI/ BIAYA TERSELAMA C/E
1000 (S) 1000 TKAN RATIO
COST/
LIFE
SAVED
NO PROGRAM 99.000 8 - - -
INTRAVENOU 154.000 1 55.000 7 7.900
S DEXTRAN
LOW DOSE 59.000 1 -40.000 7 ≤0
SUBCUTAN
HEPARIN
INTEMITTERT 72.000 2 -27.000 6 8
PNEUMATIC
COMPARISON
OFLEGS
LEG 343.000 3 244.000 5 54.000
SCANNING
WITH 125
LFIBRINOGEN

1.No.Program : $ 114.000
2.Intravenous Dextran : $ 150.000
3.Low-Dose Subcutaneous : $ 59.000
4.intermittent Compression Of the Legs : $ 66.000
5.Leg Scanning : $ 400.000
Yang paling efektif dari kelima di atas adala LOW DOSE SUBCUTAN
HEPARIN dimana angka untuk leg scanning $ 59. 000,