Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc
Journal website http://www.jocmr.org

Original Article

Volume 7, Number 2, February 2015, pages 71-75


Implementation of Continuous Capnography Is Associated With a Decreased Utilization of Blood Gases

Figure

Figure 1.
Figure 1. Mean blood gases per day are displayed for each month of the years 2009, 2010, and 2011. It is noted that the average blood gas utilization per day is consistently lower in each month of 2011 than in the preceding 2 years.

Tables

Table 1. Summary of Changes in Blood Gas Analysis Over a 3-Year Period
 
April-September 2009April-September 2010April-September 2011P value
P values obtained from a one-way ANOVA.
Total number of blood gases analyzed12,93713,1718,0700.001
Average number of blood gases per patient encounter20.8 (3.8)21.6 (1.4)13.8 (1.7)< 0.0001
Average number of blood gases per ventilator day4.94 (0.79)4.76 (0.75)3.30 (0.79)0.004

 

Table 2. Summary of Changes in Blood Gas Charges Over a 3-Year Period (Mean, Standard Deviation (Median))
 
Charges April-SeptemberCharges in 2010 - 2009P-value
200920102011 actual*2011 converted#Actual savingsConverted savingsActualConverted
Values are means ± standard deviation. Medians are displayed in parenthesis. P values obtained from a one-way ANOVA. *2011 actual are the actual charges for blood gases during the study time period April-September. #2011 converted are the charges re-calculated using the lower 2010 charge per blood gas, i.e. the charge, if there had not been an increase in the price of a blood gas between 2010 and 2011.
Total charge of blood gases analyzed$2,207,804$2,261,051$1,544,360$1,380, 556$716,691$880,4950.020.005
Charge of blood gas analysis per ventilator day$839 ± 172 ($830)$817 ± 129 ($825)$631 ± 150 ($631)$564 ± 134 ($564)$186$2530.060.009
Charge of blood gas analysis per patient encounter$3,522 ± 241 ($3,242)$3,716 ± 241 ($3,695)$2,649 ± 328 ($2,589)$2,368 ± 293 ($2,313)$1,067$1,3480.0070.001