PMID- 19847624 OWN - NLM STAT- MEDLINE DCOM- 20100813 LR - 20211020 IS - 1573-742X (Electronic) IS - 0929-5305 (Linking) VI - 29 IP - 4 DP - 2010 May TI - Hospital-based costs associated with venous thromboembolism prophylaxis regimens. PG - 449-58 LID - 10.1007/s11239-009-0371-x [doi] AB - Clinically and economically, venous thromboembolic (VTE) disease represents a significant burden to the US healthcare system. This analysis compares the total direct medical costs associated with VTE prophylaxis with enoxaparin and unfractionated heparin (UFH). Hospital discharge and billing records were extracted from the Premier Perspective database (January 2002-December 2006). The primary outcome was the total direct medical costs for discharges that were at risk of VTE and received enoxaparin or UFH. A total of 894,364 discharge records met the study inclusion criteria, of which 39.4% received enoxaparin and 60.6% received UFH. After adjustment for pre-defined covariates, mean total direct medical costs per discharge for the UFH group were $6,443, $1,080 more than those for the enoxaparin group ($5,363; P < .0001). In conclusion, enoxaparin prophylaxis is a cost-saving therapy, when compared with UFH, for the prevention of VTE in patients with a diverse range of medical conditions conferring VTE risk. FAU - Merli, Geno AU - Merli G AD - Jefferson Vascular Diseases Center, Jefferson Medical College, Thomas Jefferson University Hospital, Suite 6250, Philadelphia, PA 19107, USA. geno.merli@jefferson.edu FAU - Ferrufino, Cheryl P AU - Ferrufino CP FAU - Lin, Jay AU - Lin J FAU - Hussein, Mohammed AU - Hussein M FAU - Battleman, David AU - Battleman D LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - J Thromb Thrombolysis JT - Journal of thrombosis and thrombolysis JID - 9502018 RN - 0 (Anticoagulants) RN - 0 (Enoxaparin) SB - IM MH - Adult MH - Aged MH - Anticoagulants/*administration & dosage/*economics MH - Costs and Cost Analysis MH - Databases, Factual MH - Enoxaparin/*administration & dosage/*economics MH - Female MH - Humans MH - Male MH - Middle Aged MH - Retrospective Studies MH - Risk Factors MH - Venous Thromboembolism/*economics/*prevention & control EDAT- 2009/10/23 06:00 MHDA- 2010/08/14 06:00 CRDT- 2009/10/23 06:00 PHST- 2009/10/23 06:00 [entrez] PHST- 2009/10/23 06:00 [pubmed] PHST- 2010/08/14 06:00 [medline] AID - 10.1007/s11239-009-0371-x [doi] PST - ppublish SO - J Thromb Thrombolysis. 2010 May;29(4):449-58. doi: 10.1007/s11239-009-0371-x.